Fleischner 2017 Nodule Follow-up

Fleischner Society 2017 pulmonary-nodule follow-up recommendation (MacMahon 2017): the surveillance advice for an incidental nodule by size, type, multiplicity, and risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Nodule diameter
10
Nodule type
Solid
Single or multiple
Single
Patient risk category
High risk…

Result: Consider CT at 3 months, PET/CT, or tissue sampling.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Matrix
the recommended CT-surveillance interval keyed on nodule type (solid / part-solid / ground-glass), size, single vs multiple, and patient risk (which changes only the solid cells).
Scope
applies to incidental nodules in patients >= 35 years, not to screening, a known cancer, or immunosuppression; subsolid recommendations assume a persistent nodule.

What you enter

  • Nodule diameter (mm)
  • Nodule type
  • Single or multiple
  • Patient risk category
How this is calculated

MacMahon H, Naidich DP, Goo JM, et al. Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner Society 2017. Radiology. 2017;284(1):228-243. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.