Non calcified lung nodule brac1+ history of breast ca in 08 bilat mastectomy is this nodule ca? enlarged lymph in neck and axil. hoarse

See your doctor: None of us can answer this question without looking at the scans and examining you in person. This is best answered by your oncologist and surgeon. I highly recommend that you make an appointment and get evaluated and have a conversation with them. Good luck with everything.

Need to get checked: With brca 1 and previous breast cancer, all new enlarged lymph nodes and lesions in the solid organs need to be evaluated by a doctor for recurrence.

You need a biopsy : A history of breast cancer raises your risk of recurrence disease. Enlarged lymph nodes are also worrisome. You need a biopsy asap--likely a lymph node since they can be readily biopsied with local anesthesia. If lymph nodes (+) presumption would be that the lung is related to the breast lesion. If lymph nodes (-) you would then need a lung biopsy. You also need a pet scan.

May not be ca.: More likely not to be carcinoma. Lung nodule could be old granulomatous disease. Neck/axilla lymph nodes could be reactive. Recommend: wait one month, repeat chest ct scan.

Possibly: The finding of a nodule following a malignancy that typically spreads to the lung like breast cancer is concerning especially with lymphatic symptoms. The size of the nodule is important to prognosticate and to determine which diagnostic modality would be best. This would be best managed by coordination of care between the oncologist, radiologist and pulmonologist.