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Would you start any treatment for radiation pneumonitis if there is a large area of consolidation in the irradiated lung field but the patient is asymptomatic?

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Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

If the timeline matches then for radio graphic only pneumonitis, I would favor observation with a repeat scan in a few months.

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Mednet Member
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Radiation Oncology · University of Texas Health Science Center San Antonio MD Anderson Mays Cancer Center

No. For asymptomatic CT findings, I usually follow closely to ensure clinical stability and ideally radiographic resolution. Steroids have an unfavorable toxicity profile and may interfere with systemic therapies.

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Would you start any treatment for radiation pneumonitis if there is a large area of consolidation in the irradiated lung field but the patient is asymptomatic? | Mednet