Fleischner Guidelines

Question 1

Solid nodule, < 6 mm in size, low risk, single or multiple

Answer 1

No routine follow up

Question 1

Solid nodule, < 6 mm in size, high risk, single or multiple

Answer 1

Optional 12 month CT

Question 2

Solid nodule, 6-8 mm, single nodule, any risk

Answer 2

CT at 6-12 months, then consider CT at 18 - 24 months

Question 3

Solid nodule, 6-8 mm, multiple nodules, any risk

Answer 3

CT at 3-6 months, then CT at 18-24 months

Question 4

Solid nodule, > 8 mm, single nodule, any risk

Answer 4

CT at 3 months, PET/CT, or biopsy

Question 5

Solid nodule, > 8 mm, multiple nodules, any risk

Answer 5

CT at 3-6 months, then CT at 18-24 months

Question 6

GG nodule, < 6 mm

Answer 6

No follow up indicated

Question 7

GG nodule, > 6 mm

Answer 7

CT at 6-12 months, then CT at 3 and 5 years

Question 8

Part solid nodule, < 6 mm

Answer 8

No follow up indicated

Question 9

Part solid nodule, > 6 mm

Answer 9

CT at 3-6 months, then annual for 5 years

Question 10

Multiple subsolid nodules, < 6 mm

Answer 10

CT at 3-6 months, If stable CT at 2 and 4 years

Question 11

Multiple subsolid nodules, > 6 mm

Answer 11

CT at 3-6 months, additional based off largest nodule