A ct finding of a, stellate 1.6 x 1.1 cm subpleural right anterior segment upper lobe nodule is present. additional 2mm middle lobe nodule is cancer?

It is possible but n: But you need to have a biopsy done before one can be sure. Your age is against it unless you are a heavy smoker. A pet scan may make it easier to decide what to do next. A follow up ct scan in 2- 3 months is another alternative to biopsy now.

Could Be: The right upper lobe nodule sounds most suspicious and may require some sort of biopsy to be sure. Comparison with any older imaging studies might add more information. The 2mm nodule is too small to assess and would likely be put under surveillance. Hope things work out for the best.