<s>[INST] i went to the emergency room for a pain i was afraid was coming from my right kidney they took a ct scan at that time and came back told me my kidney was fine but they noticed several small growths ( nodules) on my lower left lung. i am a 38 year old male smoker with no heath insurance living off my unemployment benifits and i dont know what to do next my name is Ryan from seattle [/INST] Hello welcome to the health care magic You are having multiple nodules in lower left lung. You are having smoking history aa well,  so CT scan like further investigation needed to do further work up. Than if needed biopsy taken from tumour to rule out exact diagnosis Hope your concern solved Take care Consult pulmonologoist for examination and discuss your case </s>