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Solid solitary pulmonary nodule
< 8mm
 
Solid solitary pulmonary nodule
> 8mm
 
 
 
Subsolid/part-solid nodule
 
 
 
Multiple
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-enhanced CT scan (NECT)
*Frequency depends on individual risk assesment
 
Malignancy risk assessment
 
< 5mm
 
> 5mm
 
Each nodule should be assessed individually*
CT surveillance and biopsy accordingly
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Intermediate Risk
Positron emission tomography
*If positive request biopsy or surgical excision
High Risk
Biopsy
or
Surgical excision
 
CT Surveillance
Every 3 months
 
No additional work-up