Is a Spiculated lung nodule always malignant?

@sharynlynn hello, thank you so much for taking the time to reply and share your experience! It was just what I needed to hear today. I am so happy that yours resolved after two annual ct scans! I have been praying so hard for my case to be the same.. I am praying they will not only be benign but just be completely gone as well! I am thankful for early detection and screening but I stay on the struggle bus with the anxiety of the wait and watch process. Thank you for the encouragement! Wishing you the best health!

@hercules Will add you to my daily prayer list. God bless

@363 Good news! I had the follow up scan in January after having the CyberKnife radiation on my lung nodule. The scan showed that the nodule had been reduced to scar tissue. I have another follow up scan to be done in July. I'll report the results here. The fact that mine was "spiculated" and had also grown some since first discovered in 2017 resulted in my decision to have the CyberKnife radiation treatment. Since deciding on radiation over surgery at age 83, I've attended a seminar with a lung surgeon at my local hospital whom I found very kind and impressive. He said that he did lung nodule surgeries on many patients in their 80s, and that they were up off the operating table and walking down the hall soon after their surgeries. He did the surgery with the Da Vinci Robot. Thus, I wouldn't rule out a surgical procedure if you choose that over radiation. But I hope you won't need either.

I'm a never smoker, unknown family history (adopted), 62 y/o, female otherwise reasonably healthy until a recent coronary artery calcium score CT scan on 04/2026 identified a 2 cm nodule in LLL; I had a CT with/without contrast back in December for a small intestine block which only called out consolidation in the LLL. 6/4, I had a pet scan showing nodule SUV 1.8; my pre biopsy CT 6/12 showed stable solid non-calcified peri-bronchial nodule with associated focal architectural distortion and spiculated margins measuring 2.4 cm. There are several other solid non-calcified and ground-glass nodules scattered throughout the lungs, largest in the anterior sub-pleural right upper lobe measuring 7 mm. My pulmonologist is working it up assuming it is malignant with baseline blood work for genotyping. I had a Nodify (Biodisix) blood test that suggested <4% risk for malignancy but the morphology of spiculation wasn't called out at that time so not sure if Biodisix included that feature in their risk algorithm. I will have the results back from my biopsies (nodule and nodes) in the next several days. I am very happy to find this group for support and additional information sharing - it's hard to take it one day at a time, try not to meltdown emotionally, and helpful to not be "alone."

I'm a never smoker, unknown family history (adopted), 62 y/o, female otherwise reasonably healthy until a recent coronary artery calcium score CT scan on 04/2026 identified a 2 cm nodule in LLL; I had a CT with/without contrast back in December for a small intestine block which only called out consolidation in the LLL. 6/4, I had a pet scan showing nodule SUV 1.8; my pre biopsy CT 6/12 showed stable solid non-calcified peri-bronchial nodule with associated focal architectural distortion and spiculated margins measuring 2.4 cm. There are several other solid non-calcified and ground-glass nodules scattered throughout the lungs, largest in the anterior sub-pleural right upper lobe measuring 7 mm. My pulmonologist is working it up assuming it is malignant with baseline blood work for genotyping. I had a Nodify (Biodisix) blood test that suggested <4% risk for malignancy but the morphology of spiculation wasn't called out at that time so not sure if Biodisix included that feature in their risk algorithm. I will have the results back from my biopsies (nodule and nodes) in the next several days. I am very happy to find this group for support and additional information sharing - it's hard to take it one day at a time, try not to meltdown emotionally, and helpful to not be "alone."

I'm a never smoker, unknown family history (adopted), 62 y/o, female otherwise reasonably healthy until a recent coronary artery calcium score CT scan on 04/2026 identified a 2 cm nodule in LLL; I had a CT with/without contrast back in December for a small intestine block which only called out consolidation in the LLL. 6/4, I had a pet scan showing nodule SUV 1.8; my pre biopsy CT 6/12 showed stable solid non-calcified peri-bronchial nodule with associated focal architectural distortion and spiculated margins measuring 2.4 cm. There are several other solid non-calcified and ground-glass nodules scattered throughout the lungs, largest in the anterior sub-pleural right upper lobe measuring 7 mm. My pulmonologist is working it up assuming it is malignant with baseline blood work for genotyping. I had a Nodify (Biodisix) blood test that suggested <4% risk for malignancy but the morphology of spiculation wasn't called out at that time so not sure if Biodisix included that feature in their risk algorithm. I will have the results back from my biopsies (nodule and nodes) in the next several days. I am very happy to find this group for support and additional information sharing - it's hard to take it one day at a time, try not to meltdown emotionally, and helpful to not be "alone."

Yes, it is possible I have had bronchiectasis for a few years and my last CT showed a nodule that is spiculated. Had a bronchoscopy four weeks ago and the biopsy result came back negative for cancer and shows that I have a microbacteria infection that is treatable with antibiotics. My pulmonologist referred me to an infectious disease specialist for treatment. Hope all comes out well for you.