Is a Spiculated lung nodule always malignant?

the Biodesix blood test came back indeterminate. Pulmonologist says can't have biopsy, " it will kill you". But says if it shows growth he will refer me to a cardio thoracic surgeon. I'm due for next scan, my seventh, in two months, watching for growth. He mentioned open-heart surgery as only way if growth and if I will need biopsy or surgery. actually he doesn't know how this could successfully be excised or biopsied if needed.
Description of nodule is 14-17mm. It is irregularly shaped, its been described by different radiologists as, a nodule, a consolidation, suggestive of mucous plug, it is non calcified. It doubled in size in a month now seems stable ( may even have lost volume) it is located at base of RML on surface of pericardium. I am asymptomatic. Im hoping the next scan , which will be six months from last one, will show it well on its way to being completely resolved since it is non calcified and may be losing volume. I take supplements in an attempt to self medicate, makes me think i am active in my cure. i'm not panicked (kinda in denial) nor elated yet. ill report what next scan reveals. I feel pretty positive that I'll have good news. Im interested and have a strong desire to share my plight, so thank you all for listening, it helps, a lot.
Hoping all can find peace, horrible feelings of stress need to be respected and treated too. if any want to talk, I'll be glad to listen.

Thank you. Patience is always good😃

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@linpvc , 'Indeterminate' is an interesting place. At least it wasn't definitely cancer, but on the other hand it would be nice to have answers, and ultimately some sense of control. If it helps, most of us with a cancer diagnosis also experience the cycle of scans and waiting, scans and waiting. It seems that you've been able to stay positive about the situation. That should help!
Please stick around and keep us posted on how things are going.

Thank you, I’ll do that. Thank you for the response.

I have a 1 cm spiculated nodule in right upper lobe
They did a bronchoscopy 7-22-24 came back benign. Had my 3 month check up November 3, still has not changed.
Keep the faith!

Is your spiculated nodule stoll benign?

Several times in the past 10 years my CT scans have shown numerous spiculated nodules/tumors.
With a few Docs themselves were almost certain they were malignant. Each time biopsies were taken it was infections causing the mimicking of cancer.

Thank you for posting this very important information. Did the nodules disappear and new ones pop up or did they just stay stable and continue to show up on the CT scan...I am thrilled for you they were only mimicking cancer...

Hello kiducator, I just wanted to check in to see if you were able to get your nodule biopsied and what the result was? I too have nodules we are watching around the same size yours was and I am currently in the "surveillance mode" waiting for repeat scans to see if anything changes. I find it maddening to know something is in there that shouldn't be there and that they can't tell us more about it without taking it out. Could be something bad, could be nothing to worry about but still in there. I hope you are doing well and you have gotten some answers! Wishing you good health!

Hello everyone, my name is Melisa and I came to this forum tirelessly searching for an answer that would ease my heart. I am 32 years old and I am my mother's only daughter, who is the reason and meaning of my life. He is 62 years old and in a lung CA scan due to smoking for many years, a 17mmx17mm solid subpleural nodule with irregular and spiculated margins, with a tendency to crash, was detected in the right upper lobe, anterior segment. All doctors have a proactive and aggressive approach and I understand why, but I can't understand why us. I don't want my mom to suffer, I don't want her to feel pain, I couldn't lose her, it would be losing myself because she is the reason for my life, I don't have anyone else. I try to be strong for her and try to pay attention to her or do things together that we enjoy, but since last week we were told this, our life has changed.
I am following up with my psychologist and my psychiatrist, she too, I have left my job for now, and I would really like to know if there is any minimal possibility or any case in the literature or medical practice that an injury of these characteristics could have a benign etiology? I look for the infiltration pattern, the reason for the spiculation, but everything the books or the internet say are cheap shots. Perhaps it is important to note that she underwent open surgery for achalasia when she was 20 years old and there was a significant decrease in esophageal motility, which is why she sometimes regurgitates and chokes frequently at night. In any case, doctors have told me that aspiration pneumonia does not have this type of presentation. I look for hamartomas, granulomas, some other etiology, but nothing, absolutely nothing seems to indicate another origin that is not malignant, taking into account the entire context. Could someone help me?In Argentina times are tyrannical. We have an appointment with the pulmonologist next week, who will send you the PET CT. Then we will try to get it authorized through our social work as quickly as possible, we do not have the resources to pay for it. Once this is done, they do not tell us what is diagnostic or specific, but rather they will move forward with the operation, probably on the segment. We don't know what the extent of this may be. I'm afraid it's an advanced stage. I have never felt anything like this in my life. I can't lose her. I couldn't bear to see her suffer although I must be strong for her, as she always was for me. I couldn't explain to you what a wonderful woman she is. Could anyone help me with their experience? I thank God for having come to this forum.
Please, help.