Hello All, I am the original poster on this thread and I wanted to share an update to my post. It is now one year later and I just had my 2nd Annual LDCT lung cancer scan. I promised I would come back and post the results here.

My first scan one year ago in Sept 2024 showed that I had 4 ground glass lung nodules as follows:
Nodule 1: size range 5-6mm ground glass, round, indistinct margins, left lower lobe
Nodule 2: size range 4-5mm ground glass, round, indistinct margins, right middle lobe
Nodule 3: size range 4-5mm part solid, round, indistinct margins, right middle lobe
Nodule 4: size range 6-7mm ground glass, round, indistinct margins, left upper lobe
Calcified granuloma in right upper lobe.
LUNG RADS / Category 2 Benign - Recommend repeat scan 1 year.

My second scan yesterday Sept 2025 showed the following:
Nodule 1: size 5.6mm, ground glass, round, smooth margins, left upper lobe
Nodule 2: size 4.8mm, ground glass, round, smooth margins, right upper lobe
Nodule 3: size 4.2mm, ground glass, spiculated margins, right middle lobe
LUNG RADS / Category 2 Benign, Highest Coded Nodule: Nodule 1
Recommend repeat scan 1 year

I noted the following between the two scans:
1. The radiologist reading the second scan was a different radiologist from the first scan.
2. It appears that the second scan describes a nodule in the right upper lobe that was previously described on the first scan as calcified granuloma
3. There is no nodule described in the second scan in the left lower lobe that was previously there in the first scan (Nodule 1)
4. There is no part solid nodule described in the second scan in the right middle lobe that was previously there in the first scan (Nodule 3)
5. The first scan describes all the margins as indistinct and the second scan describes all the margins as smooth except for one it describes as spiculated.

My questions for you wonderful people here are your thoughts about the recommendation of scanning again in one year. I will be honest the word "spiculated" on that one nodule scares me. Everything I read sounds ominous with that word. Has anyone here ever had a spiculated nodule turn out benign? Is it safe to go a whole year without looking at that one again? My pulmonologist who has read the report seems to think so. I like her a lot but I still want to ask others who actually have nodules a "if this were your report, what would you think" question. Any insight anyone would like to give me here would be much appreciated. I pray that you are all doing well and this update finds you in good health. Thank you for your replies!