@ladylennie there are a few threads on here for multifocal lung cancer. in my experience, if the nodules are constrained to a single lobe, they'll want to remove it. if multiple lobes are affected, but there are only a few nodules they might go with radiation (and the Aliya procedure you had also seems promising. ) if there are multiple nodules in multiple lobes, they usually look at systemic (drug) treatment, or some combination of approaches. the aggressiveness of the particular cancer is another factor. the bottom line is you will need a customized treatment plan. I hope your insurance will allow for a consultation with someone experienced in treating multifocal lung cancer.