Thank you, there's alot of good information there. I guess it's just waiting game time. Something I really struggle with in this area unfortunately. I have an appointment with a pulmonologist Nov. 1st and I plan on having her look at my heart scan from 2022 and this lung cancer ct scan from Sept 2024. Maybe she can tell me if these are truly a new occurrence and already achieved these sizes or if they were there but perhaps smaller back in 2022. I have read that the heart scans may not visualize all portions of the lungs but because these four nodules are scattered throughout both lobes in upper, mid, and lower lobes it's hard to believe they could have been missed. Thanks again for the links and your input.