Question: 2 small subpleural nodules at the right lower lobe. Subsegmental atelectatic changes at right lower lobe discovered on a coronary angiogram.. Aged 67, I am a non smoker, non drinker, breast cancer in 1992, ovarian cancer in 1993, thyroïd cancer in 2007, the radiologist suggest only another CT scan in a year time. I am a retired oncologist nurse, none of my cancers were found in the UK and I am extremly worried that it could be metastases or another lung cancer, so far any nodules found in my body has proven to be malignant when removed. I am right to fear the worst?

Thank you very much for your fast answer and you are right I shouldn't panic but I do, as I anticipated heart problems for several years I have had chest pain and been breathless more and more severely recently, but certainly not any lung problems, we are only human...
I would like to believe that it is an infective or post-infective process but there are absolutely no clinical signs to back up this possibility. My lungs were my strong point, never had any bronchitis, deep cough or any lung infection and I even managed to be in contact twice with people with TB, one even died from this disease, without being infected. My last chest X Ray two years ago, I think didn't show anything but it was only an X Ray.
My guess but I am most certainly wrong would be metastases from the Thyroïd cancer because my thyroïd was fully removed 7 years ago for two papillary microcarcinomas (7 and 8 mm)(OMS-AFIP), Stade pTNM: T1mNxMx(classification
AJCC2002) no curage ganglionnaire and no "totalisation isotopique" afterwards, there was a doubt whether a complete irradiation should be performed because there were two nodules if there has only been one there wouldn't have been any discussion but the French clinicians, I was operated in France, decided not to do it, and I was quite happy at the time. 22 years after an adenocarcinoma in my left breast with no gland invaded seems to be a very long time for metastases but with cancer everything is possible.
As a non smoker, non drinker, leaving a boring and quite healthy life I shouldn't be a good candidate for primary lung cancer but for the Queen of carcinomas nothing is impossible!
I see my GP on Wednesday and will ask for a quick referal to a good oncologist;
Best regards

Thank you again and once more I totally agree with you. The only sensible course of action is a thorough investigation not for peace of mind but maybe to save my life again.
Neither could my two bosses, internationally reknown French Oncologists, nor could I, believe that nodules that look benign happen to be malignant not even under the microscope at the end of the surgical procedure but when send away to the anapath lab.
I have been lucky that they were pussy cats cancers and not tigers or I would have been dead a long time ago. So much time has been wasted, two years of battle after the first removal of a breast nodule which came back straight away,before the heavy artillery was deployed. How can cancer be so tricky that it can defy most of the theories, I only know that in my case I do it all wrong and I cannot blame the experts for not believing me.
However the Queen of carcinomas is very stuborn and is on the war path again. I would like so much for you to be right once in my life time but my little finger is telling me to follow my instinct and to fight again. The only problem is that lung is not easy to explore without invasive procedure which have to be ruled out as I am also suffering from factor XI deficiency and bleeding in the lung won't be easy to control.
Time will tell, I have been more lucky than unlucky so far as we have managed to beat up the beast at its own game. Let's hope that this time will be no exception. It is just so much time and money consuming when I would like to enjoy life with a new partner whose wife died two years ago from lung cancer in three weeks.
Thank you anyway, you said the things I wanted to hear.
Best regards and have a happy Easter week end
The Queen of carcinomas