Lung cancer CT screening: Psychological responses in the presence and absence of pulmonary nodules.

•Pulmonary nodules are commonly found on CT scans screening for lung cancer (LC).•Some non-UK studies show negative psychological impacts of pulmonary nodule diagnosis.•We explored psychological impacts of nodule diagnosis during LC screening in the UK.•There was little impact on affect, health anxiety, worry, illness perception or risk perception.•There were fewer short-term avoidance symptoms in those diagnosed with nodules.