Hello Lndak97,
Lung nodules are usually benign but some can be precancerous. Usual causes of lung nodules include tuberculosis, histoplasmosis, vascular change, or just a simple lung cyst. The fungal chest infection known as Valley Fever can also cause a lung nodule.
Non-cancerous nodules usually do change significantly in size, color, and shape. Your current CT needs to be compared with your old CT to determine the change of the size. If change in size is notable, then you need to do further investigations such as Positron Emission Tomography (PET) SCAN or a biopsy to check if such nodule is cancerous or not.
Sometimes, cancer can come even without known family history or without exposure to any of the predisposing factors. Finding it at early stage is more advantageous. Whether it is cancerous or not, it is for your benefit to get tested.
Good luck!