History of ca breast in 2008. found multiple ill defined nodules in bilateral lungs which are pleural based. can it be metastatic lymphadenopathy ?

Needs attention: Breast cancer can recurr, so this needs to be carefully assessed and monitored. Pleural based densities can be old inflammatory changes or new..So a caomparison with older x-rays/scans should be done to determine if they are new. In either case, a repeat study shou;ld be done in 2 months to look for further growth. A pet scan can also determine if this change is likely to be cancer related or not.

Hope not: Contrary to popular belief, breast cancer can relapse 5 years or more after diagnosis. Your oncologist will decide based on your clinical picture and old x-rays if those lesions should be biopsied or followed up in a short interval. I truly hope it is nothing of concern. Best to you.