Had a needle biopsy of 12mm nodule and came back positive for Invasive Adenocarcinoma, this is after watching and waiting for 11 mths. This was done at UCLA and surgery will be done there also. The nodule had not grown but was showing signs of hardening, which indicates cancer. The 4mm is unchanged and will be watched and the 6mm unchanged as well and there is a possibility that its a lymph node and not a nodule, they aren't sure. My options all along have been watch and wait, needle biopsy or surgical biopsy.
Surgery on March 8th and then follow up scans. Hoping for a wedge and not a full lobectomy. I hope this information may be helpful to others. Best to all!