Hi Peggy and all,
Thanks so much for that update.  My onc at Moffitt just said do  another 
scan in 6 months.  No mention of taking me off Sprycel.  Maybe  those nodules 
are causing my pain; who knows at this point.
I'll probably just take a wait and see as I usually do.
Yes I am on 100 mgs Sprycel daily.  I am in remission, but you never  know 
when CML will rear its ugly head, as mine has done in the past.
I have been tired as of late, but feel I have a virus or something.   Sinus 
headaches and general weakness.
I've never smoked, but I get lung problems, go figure,
Good to hear from you,  It's hot here in FL with dark skies.
Blooms all over the citrus trees; wonderful smell; wish I could send some  
over the air waves.
Hang in there and many blessings,
Jeanie<3
 
 
In a message dated 2/24/2014 12:02:54 P.M. Eastern Standard Time,  
[email protected] writes:

Hi Jeanie, 

Bibasilar simply describes the general  location in the lungs that the 
nodules were seen, in this case being the very  bottom of the lungs.  Many of 
the patients in the Case Report were noted  to have bibasilar issues, 
including nodules.  3 cm is certainly large  enough to do a biopsy.  Mine are 
all 
under 1cm, but the pulmonary doc  said once they are 1 cm or larger she can do 
a biopsy and see what they  are.  If you want answers see a pulmonary doc, 
but I definitely recommend  providing them a copy of the Case Report.  Of 
course the other option is  to wait a few months and see if they are larger, 
but 3cm is fairly large,  about the size of a grape.  Can't remember if you 
are still on Sprycel,  sorry, but if so, in most cases the nodules went away 
during a Sprycel break,  and did not return when it was restarted at a lower 
dose.  peg

On  Monday, February 17, 2014 9:31:51 AM UTC-8, Jeanie wrote:  
 
Hi all,
Yes, they found mine in a cat scan.
Here is a summary of my cat scan
CT A/P w/Contrast (Abdomen Pelvis)
 
There is no suspicious lymphadenopathy or retroperitoneal  mass identified. 
 There is aortoiliac  atherosclerotic disease without abdominal aortic 
aneurysm.  There is no  evidence of IVC thrombosis.
 
The  bladder, uterus, and adnexa are  unremarkable.  There are degenerative 
changes of the spine and boney  pelvis without destructive osseous lesion 
or acute fracture deformity  identified.  
There is also slight lower lumbar  dextroscoliosis.
 
Impression
 
1. No lymphadenopathy, soft tissue mass, or splenomegaly  identified.
 
2. Nonspecific 2-3 mm bibasilar lung nodules.
 
3. Inderminant 7 mm hetergenous or possible small  enhancing nodule the 
left kidney' follow up imaging is  recommended.
 
The liver, pancreas, spleen and adrnal glands are  unremarkable.  Note is 
made of a duodenal diverticulum in the region of  the head of the pancreas. 
And some colonic diverticulosis without evidence  of  diverticulitis. (acute)
 
 
 
 
 
 
In a message dated 2/14/2014 11:18:41 A.M. Eastern Standard Time, 
[email protected]_ (javascript:)  writes:

Folks, just for clarification, the type of lung abnormalities  seen in this 
report, and what they think I have, are NOT plural  effusion.  Plural 
effusion is fluid outside the lungs, and can be  spotted on x-ray at all but 
the 
earliest stages.  The type of lung  abnormalities referred to in the report 
are inside the lungs and can only  be seen on CT.  They appear as what they 
call Ground Glass Nodules  and other nodule type lesions that give the 
appearance of lung  cancer.  You would not see this on x-ray, at least not in 
the 
small  lesion stage.  Mine are diffuse through parts of both lungs but are  
all under the 1cm size required to do a biopsy.  I have also had  other 
symptoms, like shortness of breath, that may be attributable to  this.  To the 
best of my knowledge the prescribing information on  Sprycel does not make 
any mention of this type of lung problem.  Once  again, this is not the 
plural effusion described in the prescribing  literature.  My guess is that it 
is 
found only if a CT is done for  some other purpose, and if that is the case 
and you are still on Sprycel I  would encourage you to take this report to 
a pulmonary doctor so they can  be aware that this type of lesions have been 
seen with Sprycel  usage.  Would much rather think that this is what I have 
rather than  lung cancer!!

On Wednesday, February 12, 2014 9:32:53 AM UTC-8, peg  wrote:  
Hey Jeanie,

I am the one the mentioned lung  lesions.  I found an obscure report from 
the clinicals on Sprycel  where they found this as an auto-immune reaction to 
Sprycel, that in  most folks cleared once Sprycel was stopped. This is what 
my pulmonary  doc thinks is what they are seeing in my lungs.  I tried 
attaching  the report to this post but if it doesn't work (they dragged me into 
 
this century kicking and screaming) if you or anyone else emails me  
directly I can send it to you by email.   peg



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