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Maintain the smoke free lifestyle, this is the most important thing.
You are correct that the Xray may not be able to see the 4mm lesion. I think the main indication was to look for larger lesions since the CT scan for the kidney likely captured only the lower part of the lungs.
You could consider getting a chest CT in order to investigate if there is something else larger than the 4mm. From there, the next step, whether to proceed with interval monitoring with scans or to get a biopsy would be decided.
Maintain the smoke free lifestyle, this is the most important thing.
You are correct that the Xray may not be able to see the 4mm lesion. I think the main indication was to look for larger lesions since the CT scan for the kidney likely captured only the lower part of the lungs.
You could consider getting a chest CT in order to investigate if there is something else larger than the 4mm. From there, the next step, whether to proceed with interval monitoring with scans or to get a biopsy would be decided.