Wow. 12 is old...but not ancient, given how long many cats live these days. Mind you, some don't make it to 12.
Even though x-rays were taken only a week ago, I wonder about taking another set. I'm thinking they would show NO change...or perhaps growth as fast as the tumour in his foot. Or even if it is growing slowly, whatever that stuff in the lungs is, you would have an answer.
If it was only his leg, then at 12, I would say yes. It's the 'maybe' in the lungs that makes this difficult.
IF - IF it is cancer in the lungs, is it treatable?
In short - I just don't know.
{{{hugs}}}
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