Brett Randle’s health journey has taken a few turns on season 10 of Southern Charm.

At the beginning of the season, his wife Madison LeCroy shared that Brett was diagnosed with thyroid cancer at the end of 2023. The firefighter entered remission, but he continued to deal with complications such as having a hard time swallowing. Then, in a January episode, Madison, 34, revealed that Brett’s doctors found a tumor on his kidney and they “don’t know what it is.”

In the March 13 episode, Madison told her mom Tara over glasses of rosé that “Brett’s test came back and no cancer.”

“It was just an abnormal tissue,” the reality star explained. “So now they’re going to run the test and make sure everything’s working properly, and the kidneys are doing good, but what a relief.”

Madison explained in a confessional interview exactly how relieved she felt.

“I feel like I’ve definitely been holding my breath so long that I don’t know how to breathe,” she said. “I feel like once you experience something like this, you’re always gonna have worry. But at this moment, I just have to be thankful that now we can just move on with our happily ever after life.”

Brett’s initial diagnosis caused him and Madison to put having kids together on hold, but Tara pointed out that, now she and Brett could start trying for a baby. “I mean, I think that literally, in the same breath he said, ‘Everything’s negative, now we’re ready,'” Madison said to her mom.

In a flashback, Madison and Brett talked about growing their family, with the mom of 12-year-old son Hudson saying, “If I don’t have a girl, we’re just going to have to keep trying.”

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Tara suggested Madison could have twins, but Madison doesn’t think her body could handle that. 

“I’m 50-50 man-made,” Madison joked.

Since filming wrapped, Madison and Brett announced that they’re expecting their first child together, a baby girl.

“I honestly was pinching myself because I hadn’t heard good news in it felt like the last two years,” Madison told PEOPLE of learning about the pregnancy. “So to hear something that was so positive and something that we’ve been wanting and looking forward to was just super exciting. And of course, everybody in our family and everybody was rooting for us.”

Madison said she told Hudson, who she had at 22 with a previous partner, first about the new baby. “He was excited,” she shared. “Obviously, at first he’s like, ‘Eh.’ And then we recently got a puppy, so he goes, ‘Actually I really love caring, so might as well.’ I was like, ‘Okay. This is going to be way different, but okay.'”

The soon-to-be mom of two said on an Amazon Live stream last month that she thought “there’s no way I am going to get a girl” and have it be “a perfect situation where I have the boy and the girl.”

“But it worked out in my favor, and I’m so excited,” the Southern Charm star, who recently launched luxury loungewear line LeCroy, said. “I have a feeling I’m going to have to work a lot harder and make more money because the clothes are just adorable!”

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Southern Charm airs Thursdays at 8 p.m. ET on Bravo.