02/13/2026
Understanding Lung Nodules: When to Monitor and When to Act
At Nova Pulmonary and Sleep, we help Northern Virginia patients navigate the anxiety and uncertainty that comes with discovering a lung nodule on chest imaging. Understanding when careful monitoring is appropriate versus when immediate action is needed requires expert pulmonary assessment based on multiple clinical factors.
Most lung nodules (over 95%) are benign, but proper evaluation is essential to ensure concerning nodules receive timely intervention. Our specialists assess nodule characteristics including size (larger nodules carry higher risk), shape and borders (irregular edges more concerning than smooth), location, density patterns, and growth rate on serial imaging. We also consider patient-specific risk factors like smoking history, age, family history, and occupational exposures.
Our lung nodule management follows evidence-based guidelines using the Lung-RADS classification system, determining appropriate surveillance intervals or advanced testing like PET scans or bronchoscopy when indicated. What sets our approach apart? We provide clear explanations of your specific situation, shared decision-making about next steps, and coordinated care that reduces anxiety through expert guidance.
Don't face lung nodule uncertainty alone. Our board-certified specialists provide the expertise and reassurance you need during evaluation and monitoring.
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