# Lung Nodule Follow-up Guide — Lung-RADS v2022 / Fleischner

> Clinical decision support for lung nodule evaluation and management. (iPhone/iPad app by RADIOLOGiQ, LLC.)

- Source: https://appshunter.io/ios/app/lung-nodule-follow-up-guide/id527797391 (this page in markdown: same URL + `.md`)
- Developer: [RADIOLOGiQ, LLC](https://appshunter.io/developer/519524135)
- Category: Medical, Education
- Price: Free with in-app purchases
- Rating: 4.60/5 from 36 App Store ratings · 20 written reviews indexed
- Age rating: 12+
- Requires: iOS 16.0 · 62 MB
- Languages: American English
- Released: 2012-05-22
- Data updated: 2026-08-24
- Monetization: subscription
- User reviews in markdown: https://appshunter.io/ios/app/lung-nodule-follow-up-guide/id527797391/reviews.md

## What is Lung Nodule Follow?

Download includes a free trial; continued use requires a 6‑ or 12‑month auto‑renewing subscription.

Lung Nodule Follow-up Guide is a clinical decision-support guide that streamlines the evaluation and management of lung nodules discovered incidentally or through screening. Built on the Fleischner Society Guidelines 2017 and ACR Lung-RADS v2022, including the latest "S" modifier for clinically significant incidental findings, the app provides clear, step-by-step guidance at the point of care. Whether you're in radiology, pulmonology, or primary care, Lung Nodule Follow-up Guide helps you apply standardized recommendations with clarity and consistency.

---

Key Features (unlocked after the free trial with an active subscription)

Fleischner Society Guideliens 2017 Integration
• Structured recommendations for both solid and sub-solid (non-solid and part-solid) nodules—based on nodule size, nodule attenuation, whether solitary or multiple, and patient-specific risk factors.

ACR Lung‑RADS v2022 Integration 
• Full, in‑app access to every Lung‑RADS category (0–4X) plus the “S” modifier, with concise management instructions drawn directly from the guidelines.

Dynamic Lung‑RADS Card
• A single, color‑coded card that updates your Lung‑RADS score in real time as you enter screening round, nodule morphology, size, and growth—making classification fast.

S Modifier Integration 
• Toggle clinically significant findings across organ systems (e.g., coronary calcium, thyroid nodule, liver lesion) and instantly receive tailored, ACR‑based follow‑up recommendations sourced from the ACR Incidental Findings White Papers.

Common Issues Insights
• Provides literature-backed guidance on frequently encountered challenges in managing lung nodules—whether incidental or identified through lung cancer screening. Covers key topics such as accurate nodule measurement, interpretation of modifiers, and stepwise management strategies, helping clinicians apply guidelines with precision and consistency.

Self-Assessment Mode 
• Expert-curated self-assessment question packs.

Brock (Full Model) Calculator
• Calculate a CT-detected nodule’s 2–4 year malignancy risk.

Enhanced Readability
• Dark‑mode support, dynamic text sizing, and a distraction‑free interface optimized for hectic reading environments.

Offline Access
• All guideline logic run on‑device—no login or server needed.

Medical Disclaimer: This app is for informational purposes only and is not a substitute for professional medical advice. In addition to using this app, always consult a qualified healthcare provider for diagnosis and treatment decisions.


SUBSCRIPTION OPTIONS ¹

• 6‑Month subscription (free trial available) | Price displayed in‑app; may vary by region
• 12‑Month subscription (free trial available) | Price displayed in‑app; may vary by region

We strive to incorporate any updates to ACR Lung‑RADS or S Modifier guidance within 30 days of publication and plan to add new self‑assessment question packs every six months.

Future feature additions and update frequency may change without notice.

¹ Payment & Renewal – Payment is charged to your Apple ID at confirmation. Subscriptions renew automatically unless auto-renew is turned off at least 24 hours before the end of the current period. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Note: If you switch plans or re-subscribe during the free trial, the remaining trial time is lost and you will be charged immediately.

Privacy Policy: https://radiologiq.squarespace.com/privacy
Terms of Use (EULA): https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

## Key features

- Fleischner Society Guidelines 2017 integration
- ACR Lung-RADS v2022 integration
- Dynamic Lung-RADS card
- S Modifier integration
- Common Issues Insights
- Brock (Full Model) Calculator
- Offline access

## Pricing and in-app purchases

Base price: Free.

**Subscriptions**

| Subscription | Price | Period |
| --- | --- | --- |
| 6-Month Subscription | $14.99 | per 6 months |
| 12-Month Subscription | $19.99 | per year |


## Recent user reviews (10 of 20)

All indexed reviews: https://appshunter.io/ios/app/lung-nodule-follow-up-guide/id527797391/reviews.md

### 1/5 — Extremamente caro

*2025-09-23*

Era muito útil quando era gratuito, agora no valor cobrado não faz mais sentido utilizar

**Developer response:** Olá! Agradecemos por ter usado o app e por compartilhar seu feedback. Entendemos que a mudança para o modelo pago possa ser frustrante. A decisão foi necessária para manter o desenvolvimento, suporte e melhorias contínuas. Esperamos que o valor oferecido continue compensando para muitos usuários, e estamos sempre abertos a sugestões sobre como tornar o app ainda melhor.

### 1/5 — Make it free

*2025-06-26*

We loved the free old one !

**Developer response:** Hi there—thank you for loving the old version! We really appreciate your support. We rebuilt the app with a modern design, added new features, and incorporated the latest lung cancer screening nodule guidelines. Due to ongoing costs, we’ve introduced a subscription model so we can keep the app on the App Store and continue improving it. Please try the free trial—no obligation—and let us know what you think. Email us at developer@radiologiq.com with any feedback.

### 1/5 — Trap

*2025-06-05*

Era grátis, agora preço irreal.
Minha opinião continua a mesma, após esclarecimentos do desenvolvedor.

**Developer response:** Obrigado por compartilhar suas opiniões. Os custos de manter o app disponível para download e uso na App Store — mesmo uma versão antiga e desatualizada — juntamente com a necessidade de atualizá-lo para acompanhar as novas diretrizes, geram despesas contínuas significativas para nós. Consideramos remover o app, mas, no interesse da nossa base de usuários, escolhemos dar ao projeto mais uma chance de sustentabilidade, migrando para um modelo de assinatura.

Recriamos completamente o app com as diretrizes mais recentes e um design moderno. Por favor, experimente o período de avaliação gratuito (sem compromisso) para ver se você gosta. Se tiver ideias para torná-lo ainda melhor — incluindo comentários sobre preços — envie um e-mail para developer@radiologiq.com.

### 1/5 — Free->subscription model

*2025-06-03*

This product has been free for years, and now on an update without warning is purely subscription model.

**Developer response:** Thank you for sharing your thoughts. The costs of keeping the app available for download and use on the App Store—even an old, outdated version—along with updating it to match new guidelines, create substantial ongoing costs for us. We considered removing the app, but in the interest of our user base, we chose to give the project one more chance at sustainability by moving to a subscription model. 

We have fully rebuilt the app with the latest guidelines and a modern design. Please try the free trial (no obligation) to see if you like it. If you have ideas to make it even better—including feedback on pricing—please email us at developer@radiologiq.com.

### 1/5 — No longer a free app

*2025-06-01*

It was free, practical and usefool: now it’s overpriced. 
Hopefully a simple question on a free ChatGPT version or an other AI free tool do the job as well!

**Developer response:** Thank you for sharing your thoughts. The costs of keeping the app available for download and use on the App Store—even an old, outdated version—along with updating it to match new guidelines, create substantial ongoing costs for us. We considered removing the app, but in the interest of our user base, we chose to give the project one more chance at sustainability by moving to a subscription model. 

We have fully rebuilt the app with the latest guidelines and a modern design. Please try the free trial (no obligation) to see if you like it. If you have ideas to make it even better—including feedback on pricing—please email us at developer@radiologiq.com.

### 3/5 — Needs update

*2023-08-23*

There was an update in 2022. App is is still using the 2014, v1.1 edition.

### 5/5 — Great app

*2021-08-23*

Sabes so much time and effort. My teacher showed me this app and now I just love it.

### 5/5 — Helpful information

*2019-06-06*

Easy to use and understand. Thanks!

### 5/5 — Great app with clear figures

*2016-11-02*

Thanks for the effort. It is very convenient.

### 5/5 — A logical and easy to apply APP

*2016-10-01*

This is a really logical APP that is easy to follow and can be used in daily clinical practice. It is really well designed and simplifies the process of navigating the guidelines. The link to the guidelines strengthens the product.

## Frequently asked questions about Lung Nodule Follow

### What is the Lung Nodule Follow-up Guide?

The Lung Nodule Follow-up Guide is a clinical decision-support tool designed to assist healthcare professionals in the evaluation and management of lung nodules, based on established guidelines.

### What guidelines does the Lung Nodule Follow-up Guide use?

It integrates the Fleischner Society Guidelines 2017 and the ACR Lung-RADS v2022, including the 'S' modifier for clinically significant incidental findings.

### How does the Lung Nodule Follow-up Guide handle pricing?

The app offers a free trial, after which continued use requires a 6-month or 12-month auto-renewing subscription. Specific pricing is displayed in-app and may vary by region.

### Can I use the Lung Nodule Follow-up Guide offline?

Yes, all guideline logic runs on-device, meaning you can use the app offline without needing a login or server connection.

### What are the subscription options for the Lung Nodule Follow-up Guide?

Subscription options include a 6-month plan for $14.99 and a 12-month plan for $19.99, both offering a 14-day free trial.

### How often is the Lung Nodule Follow-up Guide updated?

The developers strive to incorporate updates to ACR Lung-RADS or S Modifier guidance within 30 days of publication and plan to add new self-assessment question packs.

### What is the age rating for the Lung Nodule Follow-up Guide?

The app has an age rating of 12+, making it suitable for users aged 12 and older.

### Does the Lung Nodule Follow-up Guide have ads?

No, the Lung Nodule Follow-up Guide does not contain advertisements. It operates on a subscription model after an initial free trial.

## Version history (last 5 releases)

### 8.2 — 2025-12-01

Version 8.2

• Added new self-Assessment quiz pack


Version 8.1.2

• UI/UX refinements (optimized for iOS 26)


Version 8.1.1

• General improvements (e.g. enhanced support for smaller devices)


Version 8.1

• Added Brock (full model) calculator
• Added FAQ section


What's New in Version 8.0

v8.0 is our first major update in six years, bringing Lung Nodule Follow-up Guide up to Lung-RADS v2022 standards. To support ongoing maintenance, regular guideline updates, and self-assessment question packs, this release introduces a free trial—after which continued use requires a 6- or 12-month auto-renewing plan. 

Guideline Upgrades
• Upgraded from ACR Lung-RADS v1.1 to ACR Lung-RADS v2022, ensuring you have the latest criteria for lung cancer screening.  Added ‘S’ modifier integration for clinically significant incidental findings—instantly flag and address other notable abnormalities.

Smarter Decision Support
• Expert‑curated self‑assessment question packs.

Complete rebuild
• Re‑engineered from the ground up for smoother interaction and greater reliability. Brand‑new modern interface optimized for both iPhone and iPad. Full Dark Mode and Dynamic Type support for comfortable viewing in any environment.

Pricing update
• After the free trial, continued use requires a 6‑ or 12‑month auto‑renewing subscription. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Thanks for using Lung Nodule Follow-up Guide! Tap Settings ▸ Share Your Feedback to let us know how we can keep improving.



Download includes a free trial; continued use requires a 6- or 12-month auto-renewing subscription.

### 8.1.2 — 2025-11-17

Version 8.1.2

• UI/UX Refinements (Optimized for iOS 26)


Version 8.1.1

• General improvements (e.g. enhanced support for smaller devices)


Version 8.1

• Added Brock (full model) Calculator
• Added FAQ section


What's New in Version 8.0

v8.0 is our first major update in six years, bringing Lung Nodule Follow-up Guide up to Lung-RADS v2022 standards. To support ongoing maintenance, regular guideline updates, and self-assessment question packs, this release introduces a free trial—after which continued use requires a 6- or 12-month auto-renewing plan. 

Guideline Upgrades
• Upgraded from ACR Lung-RADS v1.1 to ACR Lung-RADS v2022, ensuring you have the latest criteria for lung cancer screening.  Added ‘S’ modifier integration for clinically significant incidental findings—instantly flag and address other notable abnormalities.

Smarter Decision Support
• Expert‑curated self‑assessment question packs.

Complete rebuild
• Re‑engineered from the ground up for smoother interaction and greater reliability. Brand‑new modern interface optimized for both iPhone and iPad. Full Dark Mode and Dynamic Type support for comfortable viewing in any environment.

Pricing update
• After the free trial, continued use requires a 6‑ or 12‑month auto‑renewing subscription. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Thanks for using Lung Nodule Follow-up Guide! Tap Settings ▸ Share Your Feedback to let us know how we can keep improving.



Download includes a free trial; continued use requires a 6- or 12-month auto-renewing subscription.

### 8.1.1 — 2025-06-30

Version 8.1.1

• General improvements (e.g. enhanced support for smaller devices)


Version 8.1

• Added Brock (full model) Calculator
• Added FAQ section


What's New in Version 8.0

v8.0 is our first major update in six years, bringing Lung Nodule Follow-up Guide up to Lung-RADS v2022 standards. To support ongoing maintenance, regular guideline updates, and self-assessment question packs, this release introduces a free trial—after which continued use requires a 6- or 12-month auto-renewing plan. 

Guideline Upgrades
• Upgraded from ACR Lung-RADS v1.1 to ACR Lung-RADS v2022, ensuring you have the latest criteria for lung cancer screening.  Added ‘S’ modifier integration for clinically significant incidental findings—instantly flag and address other notable abnormalities.

Smarter Decision Support
• Expert‑curated self‑assessment question packs.

Complete rebuild
• Re‑engineered from the ground up for smoother interaction and greater reliability. Brand‑new modern interface optimized for both iPhone and iPad. Full Dark Mode and Dynamic Type support for comfortable viewing in any environment.

Pricing update
• After the free trial, continued use requires a 6‑ or 12‑month auto‑renewing subscription. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Thanks for using Lung Nodule Follow-up Guide! Tap Settings ▸ Share Your Feedback to let us know how we can keep improving.



Download includes a free trial; continued use requires a 6- or 12-month auto-renewing subscription.

### 8.1 — 2025-06-12

Version 8.1

• Added Brock (full model) Calculator
• Added FAQ section


What's New in Version 8.0

v8.0 is our first major update in six years, bringing Lung Nodule Follow-up Guide up to Lung-RADS v2022 standards. To support ongoing maintenance, regular guideline updates, and self-assessment question packs, this release introduces a free trial—after which continued use requires a 6- or 12-month auto-renewing plan. 

Guideline Upgrades
• Upgraded from ACR Lung-RADS v1.1 to ACR Lung-RADS v2022, ensuring you have the latest criteria for lung cancer screening.  Added ‘S’ modifier integration for clinically significant incidental findings—instantly flag and address other notable abnormalities.

Smarter Decision Support
• Expert‑curated self‑assessment question packs.

Complete rebuild
• Re‑engineered from the ground up for smoother interaction and greater reliability. Brand‑new modern interface optimized for both iPhone and iPad. Full Dark Mode and Dynamic Type support for comfortable viewing in any environment.

Pricing update
• After the free trial, continued use requires a 6‑ or 12‑month auto‑renewing subscription. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Thanks for using Lung Nodule Follow-up Guide! Tap Settings ▸ Share Your Feedback to let us know how we can keep improving.



Download includes a free trial; continued use requires a 6- or 12-month auto-renewing subscription.

### 8.0 — 2025-05-29

What's New in Version 8.0

v8.0 is our first major update in six years, bringing Lung Nodule Follow-up Guide up to Lung-RADS v2022 standards. To support ongoing maintenance, regular guideline updates, and self-assessment question packs, this release introduces a free trial—after which continued use requires a 6- or 12-month auto-renewing plan. 

Guideline Upgrades
• Upgraded from ACR Lung-RADS v1.1 to ACR Lung-RADS v2022, ensuring you have the latest criteria for lung cancer screening.  Added ‘S’ modifier integration for clinically significant incidental findings—instantly flag and address other notable abnormalities.

Smarter Decision Support
• Expert‑curated self‑assessment question packs.

Complete rebuild
• Re‑engineered from the ground up for smoother interaction and greater reliability. Brand‑new modern interface optimized for both iPhone and iPad. Full Dark Mode and Dynamic Type support for comfortable viewing in any environment.

Pricing update
• After the free trial, continued use requires a 6‑ or 12‑month auto‑renewing subscription. Manage or cancel anytime in Settings ▸ Apple ID ▸ Subscriptions.

Thanks for using Lung Nodule Follow-up Guide! Tap Settings ▸ Share Your Feedback to let us know how we can keep improving.



Download includes a free trial; continued use requires a 6- or 12-month auto-renewing subscription.

## Apps similar to Lung Nodule Follow

| App | Rating | Price | Category |
| --- | --- | --- | --- |
| [Verifie Health](https://appshunter.io/ios/app/verifie-health/id1594121580) | — | Free | Medical |
| [Meducator - Medical AI](https://appshunter.io/ios/app/meducator-medical-ai/id1659157660) | 4.8 (27) | Free | Medical |
| [ImmerseRx mNSCLC Immunotherapy](https://appshunter.io/ios/app/immerserx-mnsclc-immunotherapy/id1640327940) | 5.0 (1) | Free | Medical |
| [MiMed Pharmacy](https://appshunter.io/ios/app/mimed-pharmacy/id1639863000) | 5.0 (1) | Free | Medical |
| [misTMJ](https://appshunter.io/ios/app/mistmj/id1592838220) | — | Free | Medical |
| [TOKA Surgery Simulator](https://appshunter.io/ios/app/toka-surgery-simulator/id1589939900) | 2.0 (6) | Free | Medical |

## More apps by RADIOLOGiQ, LLC

- [GFR Calculator (MDRD & CKD)](https://appshunter.io/ios/app/gfr-calculator-mdrd-and-ckd/id523479289)
- [Differential Diagnosis Guide](https://appshunter.io/ios/app/differential-diagnosis-guide/id523946690)
- [Thoracic Lymph Node Map](https://appshunter.io/ios/app/thoracic-lymph-node-map/id531517393)
- [Clinical Imaging Calculator](https://appshunter.io/ios/app/clinical-imaging-calculator/id531529799)
- [Cardiac Imaging Planes 1-2-3](https://appshunter.io/ios/app/cardiac-imaging-planes-1-2-3/id595251859)

All apps by RADIOLOGiQ, LLC: https://appshunter.io/developer/519524135

## Related topics

[lung nodule follow-up guide](https://appshunter.io/ios/topics/lung-nodule-follow-up-guide) · [incidental lung nodule guide](https://appshunter.io/ios/topics/incidental-lung-nodule-guide) · [lung nodule tracker](https://appshunter.io/ios/topics/lung-nodule-tracker) · [nodulerisk](https://appshunter.io/ios/topics/nodulerisk) · [thyroid nodule & cancer guide](https://appshunter.io/ios/topics/thyroid-nodule-cancer-guide)

---

*Data collected daily from the US App Store and indexed by [AppsHunter](https://appshunter.io/). User reviews are verbatim App Store reviews. Ratings, prices and chart positions refresh continuously; this snapshot is from 2026-08-24.*
