Pulmonary Nodules

In July 2020 i was experiencing a bad chest cough. Doctor sent me for chest Xray and it came back clear. Cough eventually went away.

More recently I had been experiencing some intermittent chest pain so he sent me for a CT Scan of my chest a few weeks ago which showed several nodules all less than 5mm in size.

Should I be concerned that 9 months ago i had a clear xray but now my ct scan shows 5 different nodules, 3 on my left lung and 2 on my right? I did have a pneumonia back in October 2020 which i thought at the time was Covid but I tested negative multiple times.

How concerned should I be and should i be doing a follow up CT scan every 12 months to be on the safe side?

The safest way would be to get a biopsy now…