TY - JOUR T1 - Management of incidental lung parenchymal lesions found on CT pulmonary angiograms JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p577 AU - Sharlina Sallehuddin AU - Said Isse AU - Peter Russell AU - Supriya Sundaram Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p577.abstract N2 - Introduction: Incidental findings of lung parenchymal lesions are common. Many studies have described what these alternative diagnoses are, but few have looked at their management. We aim to investigate how these are managed in a UK district general hospital.Methods: We retrospectively analysed all CTPAs undertaken in 2008. We used Picture Archiving and Communication System (PACS) for CTPA reports, Pathweb for biopsy results and multidisciplinary team (MDT) database and patient case notes for the final clinical outcome.Results:As a result 15 had a PET scan of which 9 were FDG-avid and 7 proceeded to a tissue biopsy. Ten patients (11.6%) had positive histology. 5 had locally advanced or metastatic non-small cell lung cancer, 3 had squamous cell carcinoma, two had other metastatic carcinomas. Time from CTPA to histological diagnosis was more than 21 days for 7 patients. Three patients were referred for curative surgery (lobectomy/VATS), four patients to oncology (palliative radiotherapy/chemotherapy), three patients referred for palliative care.Conclusion: Incidental findings on CTPAs have generated additional work for the respiratory department and lung multidisciplinary team. Patients with positive histology had advanced carcinoma and the incidental finding of lung cancer was associated with a poor prognosis. Incidental findings of these lesions require standardised follow-up and management plans in order to avoid delays. ER -