>>> TONIGHT, CLOSING ARGUMENTS IN THE DOUBLE MURDER TRIAL OF ALEX MURDAUGH. THE DRAMA IN THE COURTROOM AS PROSECUTORS MAKE THEIR FINAL CASE DESCRIBING MURDAUGH AS A FAMILY ANNIHILATOR, WHO KILLED HIS WIFE AND SON TO HIDE HIS FINANCIAL CRIMES. THE DEFENSE GETTING ITS CHANCE TOMORROW. THE JURY EARLIER IN THE DAY VISITING THE CRIME SCENE. WHAT THEY SAW. OUR TEAM AT THE COURTHOUSE. >>> ALSO TONIGHT, THE POWERFUL WINTER STORM BATTERING THE WEST COAST BEGINNING ITS SWEEP ACROSS THE COUNTRY. WE'RE TRACKING IT. >>> THE ALARMING DISCOVERY AT A PENNSYLVANIA AIRPORT. EXPLOSIVES HIDDEN IN CHECKED LUGGAGE. HOW CLOSE DID IT COME TO BEING LOADED ONTO AN AIRPLANE AND THE PASSENGER NOW IN FBI CUSTODY. >>> THE HORROR IN GREECE. TWO TRAINS COLLIDING HEAD-ON. AT LEAST 43 KILLED. WHO POLICE HAVE NOW ARRESTED. >>> THE WARRANT ISSUED FOR A COLLEGE FOOTBALL STAR AND TOP NFL DRAFT PROSPECT LINKED TO A CRASH THAT KILLED A TEAMMATE. >>> DRUGMAKER ELI LILLY SLASHING THE PRICE OF INSULIN, THE MAJOR IMPACT FOR MILLIONS OF AMERICANS WHO NEED THE LIFESAVING DRUG. >>> AND MY CONVERSATION WITH JOHN WILLIAMS, THE LEGENDARY COMPOSER BEHIND "STAR WARS," "JAWS," AND "INDIANA JONES" AND THE VERY THEME YOU'RE LISTENING TO RIGHT NOW ON MAKING HISTORY AT THIS YEAR'S OSCARS. >> Announcer: THIS IS "NBC NIGHTLY NEWS" WITH LESTER HOLT. >>> GOOD EVENING. WE'RE GLAD YOU'RE WITH US TONIGHT. A DOUBLE MURDER CASE THAT HAS DRAWN NATIONAL ATTENTION WITH A PROMINENT SOUTH CAROLINA FAMILY AT ITS CENTER IS INCHING TOWARD ITS CONCLUSION TONIGHT WITH THE PROSECUTION RESTING ITS CASE AGAINST ALEX MURDAUGH, BUT NOT BEFORE THE JURY SAW FOR ITSELF THE FAMILY PROPERTY WHERE THE FORMER ATTORNEY ALLEGEDLY SHOT AND KILLED HIS WIFE AND SON. THE JURY DRIVEN TO THE CRIME SCENE. LATER IN THE COURTROOM THE LEAD PROSECUTOR DELIVERED HIS CLOSING ARGUMENTS TELLING JURORS MURDAUGH WAS THE ONLY ONE WITH THE MOTIVE, MEANS AND OPPORTUNITY TO COMMIT THE MURDERS AND PAINTING MURDAUGH AS SOMEONE WHOSE FINANCIAL MISDEEDS WERE ABOUT TO EXPOSED AND KILLED HIS WIFE AND SON TO BUY TIME TO FIGURE A WAY OUT. MURDAUGH HAS DENIED COMMITTING THE MURDERS. CATIE BECK HAS MORE FOR US TONIGHT. >> Reporter: ALEX MURDAUGH WAS LIVING A LIE AND WOULD DO ANYTHING TO PROTECT IT. THAT'S WHY THE PROSECUTION SAYS HE WAS THE ONLY ONE WITH MOTIVE AND MEANS TO MURDER. >> THE FORENSIC TIME LINE PUTS HIM THERE. >> Reporter: PROSECUTORS DESCRIBE A GATHERING STORM, UNBEARABLE PRESSURE BEARING DOWN ON MURDAUGH IN THE WEEKS AND MONTHS BEFORE THE MURDERS. CONFRONTED FOR STEALING MONEY FROM HIS FIRM AND ABOUT TO BE FINANCIALLY EXPOSED BY A CIVIL CASE AFTER THE 2019 BOAT CRASH INVOLVING HIS SON PAUL. >> AND THEY WERE ALL REACHING A CRESCENDO THE DAY HIS WIFE AND SON WERE MURDERED BY HIM. >> Reporter: PROSECUTORS AGAIN POINTING TO THE LIE MURDAUGH ADMITTED ON THE STAND THAT HE WAS NEVER AT THE KENNELS THAT NIGHT. >> WHEN WAS THE LAST TIME I SAW MY WIFE AND CHILD ALIVE? WHY IN THE WORLD WOULD AN INNOCENT, REASONABLE FATHER AND HUSBAND LIE ABOUT THAT? >> Reporter: AND A GRAPHIC DESCRIPTION OF ALEX SHOOTING PAUL IN THE FEED ROOM WITH THE FAMILY GUN AND MAGGIE WHO HEARD AND SAW THE HORRIFIC MOMENT JUST MOMENTS BEFORE HER OWN DEATH. >> SHE WAS RUNNING TO HER BABY, HEARD THAT SHOT AND WAS RUNNING TO HER BABY WHEN SHE GOT MOWED DOWN. >> Reporter: REMINDING THE JURY OF HOW MOMENTS AFTER THE MURDERS MURDAUGH STRUGGLED TO EXPLAIN WHY HE WAS TRACKING SO MANY STEPS AND WHY SOME DETAILS, THE ONES THAT HELP HIM, ARE CRYSTAL CLEAR IN AN EVER-CHANGING MANUFACTURED ALIBI STORY. >> HE'S ASKING QUESTIONS LIKE THAT. HE'S TRYING TO FIGURE OUT WHAT DO THE POLICE HAVE. >> Reporter: REPLAYING VARIOUS INTERVIEWS ALEX GAVE INVESTIGATORS. >> I STAYED ON THE COUCH, AND I DOZED OFF. >> Reporter: THE CRIME SCENE SHOWN TO THE JURY WEDNESDAY MORNING TAKEN FROM THE COURT TO THE 1,700-ACRE PROBABLY TO WALK THE KENNELS, THE FEED ROOM AND OUTSIDE OF THE FORMER MURDAUGH HOME. PROSECUTORS CONCLUDING THEIR ARGUMENTS WITH THIS. >> HE'S FOOLED THEM ALL, AND HE FOOLED MAGGIE AND PAUL TOO, AND THEY PAID FOR IT WITH THEIR LIVES. DON'T LET HIM FOOL YOU TOO. >> CATIE, WHAT POINTS DO YOU ANTICIPATE THE DEFENSE WILL WANT TO TALK ABOUT TOMORROW? >> Reporter: WELL, LESTER, WE EXPECT THE DEFENSE TO POINT OUT THAT OUT OF 75 WITNESSES WHO HAVE TESTIFIED, NOT A SINGLE ONE HAS DESCRIBED THIS FAMILY DYNAMIC AS ANYTHING BUT LOVING, ALSO IF ALEX MURDAUGH'S MOTIVE WAS REALLY FOR SYMPATHY AND DISTRACTION, HE ACHIEVED NEITHER. SOON AFTER THESE CRIMES HE WAS DISBARRED AND DISGRACED. LESTER. >> ALL RIGHT, CATIE BECK, THANK YOU. OUR SENIOR LEGAL CORRESPONDENT LAURA JARRETT JOINS ME. DID THEY ACCOMPLISH WHAT THEY SET OUT TO DO? >> IT IS A CIRCUMSTANTIAL CASE. THE PROSECUTION DOESN'T HAVE MURDER WEAPONS, DOESN'T HAVE BLOODY CLOTHES OR A CONFESSION, SO INSTEAD THE STRATEGY IS TO PERSUADE THE JURY THAT HE'S GUILTY WITH A TIME LINE THAT PLACES MURDAUGH AT THE SCENE OF THE CRIME JUST MINUTES BEFORE THE MURDER. HIS PAST LIES ABOUT THAT VERY TIME LINE CAUGHT ON TAPE, SOME OF THE MOST COMPELLING EVIDENCE HERE, BUT WHAT COULD BE THE PROSECUTION'S BIGGEST HURDLE, MOTIVE. EXPECT TO HEAR THE DEFENSE ARGUE IN CLOSING TOMORROW IT SIMPLY DOESN'T MAKE SENSE THAT SOMEONE WOULD KILL THEIR WIFE AND CHILD TO DISTRACT EVERYONE FROM A LOOMING FINANCIAL DOWNFALL, BUT, OF COURSE, THE STATE DOESN'T NEED TO PROVE MOTIVE TO GET A CONVICTION HERE IN THIS CASE. >> LAURA, THANKS VERY MUCH. >>> IN PENNSYLVANIA, A MAN IS UNDER ARREST AFTER THE FBI SAYS AN EXPLOSIVE WAS FOUND IN A BAG HE CHECKED AT THE AIRPORT. THE BAG SET OFF AN ALARM DURING TSA SCREENING AT LEHIGH VALLEY AIRPORT BEFORE IT COULD BE LOADED ONTO AN ALLEGIANT AIR FLIGHT TO ORLANDO. WHEN THE AGENTS INSPECTED THE BAG, THE FBI SAYS THEY FOUND THE DEVICE WITH TWO FUSES HIDDEN INSIDE THE LINING. >>> YET AGAIN THE THREAT OF TORNADOES AND SEVERE WEATHER IN PARTS OF THE SOUTH ONLY GETS WORSE TOMORROW. BILL KARINS IS TRACKING IT. BILL, WHAT DO WE NEED TO KNOW? >> HERE WE GO, LESTER. A TORNADO WATCH IS ALREADY ISSUED FOR TEXARKANA AND LITTLE ROCK FOR THIS EVENING AND LARGE HAIL POSSIBLE. AND THEN TOMORROW, THIS WILL BE THE HEADLINE EVENT. WE ALREADY HAVE WHAT WE CALL A MODERATE RISK OF SEVERE WEATHER FROM THE DALLAS-FORT WORTH AREA. IT WILL SPREAD OVER THE SAME AREAS OF LOUISIANA AND SOUTHERN ARKANSAS AND NOT ONLY EXPECT TORNADOES BUT A FEW STRONG ONES TOMORROW AFTERNOON RIGHT INTO TOMORROW EVENING. SO THAT'S GOING TO BE A BIG CONCERN THEN THE COLD SIDE OF THIS STORM. LOOKS LIKE NORTHERN NEW ENGLAND IS GOING TO GET A SNOWSTORM FRIDAY NIGHT INTO SATURDAY MORNING. A WINTRY MESS THROUGH CENTRAL NEW ENGLAND, JUST RAIN SOUTH OF NEW YORK CITY AND HEADS-UP TO OUR FRIENDS FROM CHICAGO TO DETROIT, LESTER, A HEAVY, NARROW BAND OF SNOW. SOMEONE WILL GET NAILED, AND THERE WILL BE POWER OUTAGES. >> THANK YOU FOR THAT. >>> OFFICIALS IN GREECE SAY IT APPEARS HUMAN ERROR IS MAINLY TO BLAME FOR A HORRIFIC HEAD-ON CRASH BETWEEN A PASSENGER TRAIN AND FREIGHT TRAIN THAT KILLED AT LEAST 43 PEOPLE. THE RESCUE EFFORT ONGOING. MATT BRADLEY HAS LATE DETAILS. >> Reporter: TONIGHT GREECE'S PRIME MINISTER MOSTLY BLAMING HUMAN ERROR FOR THE DEADLIEST TRAIN CRASH IN THE COUNTRY'S HISTORY. TRAIN CARS TURNING INTO PILES OF TWISTED METAL WHEN A FREIGHT TRAIN AND A PASSENGER TRAIN COLLIDED HEAD-ON, AND NOW WE'RE HEARING FROM THE SURVIVORS WHO SOMEHOW WERE ABLE TO MAKE IT OUT. [ SPEAKING NON-ENGLISH ] "WE HEARD A BAM, AND I GOT PROPELLED FORWARD." "THE RAILCARED SPUN ON THEIR SIDE." "WE WERE BEING BURNED," SAID THIS SURVIVOR. "FIRE WAS RIGHT AND LEFT." TEMPERATURES REACHED MORE THAN 2,300 DEGREES. NOW FAMILIES DEMANDING TO KNOW HOW TWO TRAINS COULD HAVE RACED TOWARD EACH OTHER ON THE SAME TRACK REPORTEDLY FOR A FULL 12 MINUTES BEFORE THEY COLLIDED ACCORDING TO THE HEAD OF GREECE'S RAIL WORKERS UNION. "WE ALL WANT THOSE RESPONSIBLE TO PAY FOR THIS MESS," SAID THIS FATHER WHO WAS STILL LOOKING FOR HIS SON. MANY PASSENGERS WERE YOUNG PEOPLE RETURNING FROM A CARNIVAL. GREEK POLICE ARRESTED THE MANAGER OF A NEARBY TRAIN STATION BUT GAVE NO REASON WHY AND THE COUNTRY'S TRANSPORT MINISTER RESIGNED, HE SAID, OUT OF RESPECT FOR THOSE WHO DIED. AUTHORITIES SAY THEY STILL DON'T KNOW EXACTLY WHAT CAUSED THE CRASH, BUT GREECE ALREADY HAD AMONG THE MOST DANGEROUS TRAIN SYSTEMS IN EUROPE. LESTER. >> MATT BRADLEY, THANK YOU. >>> A NEW ASSESSMENT BY U.S. INTELLIGENCE OFFICIALS SAYS THE DEBILITATING AILMENT KNOWN AS HAVANA SYNDROME CANNOT BE LINKED TO ANY FOREIGN ADVERSARY OR WEAPON AND CASTS DOUBT ON SUSPICIONS THAT RUSSIA OR ANOTHER COUNTRY CAUSED BRAIN INJURIES REPORTED BY U.S. DIPLOMATS AND SPIES OVERSEAS. WHILE NOT DISCOUNTING IT, OFFICIALS CITED PRE-EXISTING MEDICAL CONDITIONS AND ENVIRONMENTAL FACTORS AS POSSIBLE CAUSES. >>> BACK HOME THE CEO OF NORFOLK SOUTHERN NOW SET TO TESTIFY BEFORE THE SENATE NEXT WEEK ABOUT THE COMPANY'S TRAIN DERAILMENT IN OHIO. IT COMES AMID CONCERNS ABOUT WHERE THE TOXIC WASTE FROM THAT DISASTER IS BEING TAKEN. WITH MORE HERE'S GABE GUTIERREZ. >> Reporter: NEARLY A MONTH AFTER THE NORFOLK SOUTHERN TRAIN DERAILMENT IN OHIO, THE PRESIDENTS OF U.S. RAILROAD UNIONS SAY WORKERS HAVE FALLEN ILL AT THE SITE AS FEDERAL REGULATORS PROMISE TO IMPROVE RAILWAY SAFETY NATIONWIDE WITH INSPECTIONS. THERE ARE ALSO NEW CONCERNS ABOUT WHERE SOME OF THE HAZARDOUS MATERIALS ARE HEADING. AMONG THE SITES SPREAD ACROSS SEVERAL STATES IS ONE LONGTIME INCINERATOR IN EAST LIVERPOOL, OHIO, ABOUT 20 MILES SOUTH OF EAST PALESTINE. HOW MANY OF YOU ARE WORRIED ABOUT THE SITUATION? WE SPOKE WITH SEVERAL RESIDENTS HERE WHO HAVE BEEN FIGHTING THE PLANT RUN BY HERITAGE THERMAL SERVICES PREVIOUSLY KNOWN AS WASTE TECHNOLOGIES INDUSTRIES FOR DECADES. SINCE THE PLANT OPENED IN 1992, IT'S FACED PROTESTS AND LAWSUITS FROM ENVIRONMENTAL GROUPS. THE EPA SAID THE PLANT RELEASED HIGH LEVELS OF TOXIC CHEMICALS 195 TIMES BETWEEN 2010 AND 2014. >> THEY'VE JUST NOT BEEN SHOWING THEMSELVES TO BE GOOD NEIGHBORS. >> THE FACILITY NEVER SHOULD HAVE BEEN HERE IN THE FIRST PLACE. >> Reporter: THE COMPANY HAS DENIED WRONGDOING. DO YOU HAVE ANY CONCERNS THAT THIS SITE WILL BE ABLE TO HANDLE THIS TOXIC MATERIAL? >> OVERALL I DON'T. >> Reporter: MAYOR GREG BRICKER LIVES WITH HIS FAMILY NEAR THE INCINERATOR. >> THEY GAVE ME THEIR ASSURANCES, AND I'M GOING TO RELY ON THEM. >> Reporter: HERITAGE SAID IT IS FULLY PERMITTED TO MANAGE THE MATERIALS GENERATED AT THE DERAILMENT SITE AND STANDS READY TO DO ITS PART TO HELP PROTECT HUMAN HEALTH AND THE ENVIRONMENT. >> I WOULD JUST ASK THAT THEY DON'T FORGET ABOUT US. >> Reporter: THESE LONGTIME RESIDENTS ARE SKEPTICAL. >> WE'RE IN A CRISIS RIGHT NOW. IT'S CHOKING ME UP. IT'S EMOTIONAL. >> Reporter: ALSO TODAY, NORFOLK SOUTHERN'S CEO AGREED TO TESTIFY ON CAPITOL HILL NEXT WEEK. LESTER. >> ALL RIGHT, GABE, THANK YOU. >>> A MAJOR MOVE TO BRING DOWN THE HIGH COST OF INSULIN, ONE OF THE BIGGEST MANUFACTURERS ANNOUNCING IT WILL DRASTICALLY REDUCE THE OUT-OF-POCKET COST. HERE'S KRISTEN DAHLGREN. >> Reporter: TONIGHT IT'S BEING HAILED AS A HUGE WIN FOR DIABETICS. DRUGMAKER ELI LILLY ANNOUNCING IT'S CUTTING THE LIST PRICE OF ITS MOST COMMONLY PRESCRIBED INSULIN BY 70% AND CAPPING OUT-OF-POCKET COSTS AT $35 A MONTH. >> SUCH A RELIEF. IT'S A HUGE SIGNIFICANT STEP IN MAKING THIS DISEASE MANAGEABLE. >> Reporter: ANNE MARIE GIBSON'S SONS BOTH USE ELI LILLY INSULIN FOR THEIR DIABETES AND SPOKE TO NBC NEWS IN DECEMBER AS COSTS IN AMERICA SOARED FOR THE LIFESAVING DRUG. >> I'M SO ANGRY. IT'S EXHAUSTING. >> Reporter: IN JANUARY THE INFLATION REDUCTION ACT IMPOSED A MONTHLY CAP ON INSULIN COSTS FOR SENIORS ON MEDICARE, BUT MILLIONS OF YOUNGER DIABETICS WERE STILL PAYING MUCH HIGHER RATES. THE MOVE COMES AFTER YEARS OF POLITICAL AND PATIENT PRESSURE. >> I THINK WE ALL HAVE HEARD ENOUGH ABOUT INSULIN AFFORDABILITY HERE IN AMERICA. WE SHOULD BE ABLE TO SOLVE THIS PROBLEM OURSELVES. >> Reporter: ELI LILLY'S CAP AUTOMATICALLY APPLIES TO PEOPLE WITH PRIVATE INSURANCE. THOSE WITHOUT COVERAGE WILL BE ELIGIBLE AS LONG AS THEY SIGN UP FOR A SAVINGS CARD THROUGH THE COMPANY. BUT ONLY ABOUT 30% OF THE NATION'S 8.4 MILLION DIABETICS WHO RELY ON INSULIN GET IT FROM ELI LILLY. >> DO YOU EXPECT THE OTHER DRUGMAKERS TO FOLLOW SUIT? >> I HOPE THEY DO. I THINK THAT IN GENERAL ALL OF THE INSULIN THAT THE DRUG MANUFACTURERS MAKE SHOULD BE AFFORDABLE AND ACCESSIBLE. >> Reporter: TODAY INSULIN MAKERS SANOFI AND NOVO NORDISK POINTED TO THEIR OWN SAVINGS PLANS FOR PARTICIPANTS. FOR MOM ANNE MARIE GIBSON, TODAY IS A GOOD START TO SAVING LIVES. >> RATIONING INSULIN GETS SCARY. SOME HAVE DIED. >> Reporter: KNOWING HER SONS NOW FACE A FUTURE WHERE A VITAL PRESCRIPTION WON'T CARRY SUCH A HEFTY PRICE. KRISTEN DAHLGREN, NBC NEWS. >>> IN 60 SECONDS, HE'S ONE OF THE MOST SOUGHT AFTER FOOTBALL STARS FOR THE DRAFT, WHY POLICE NOW WANT HIM ARRESTED. Resads with a catchy song.mber So to help you remember that Liberty Mutual customizes your home insurance, here's a little number you'll never forget. Did you know that Liberty Mutual custo— ♪ LIBERTY MUTUAL. ♪ ♪ ONLY PAY FOR WHAT YOU NEED. ♪ ♪ ONLY PAY FOR WHAT YOU NEED. ♪ ♪ CUSTOM HOME INSURANCE CREATED FOR YOU ALL. ♪ ♪ NOW THE SONG IS DONE ♪ ♪ BACK TO LIVING IN YOUR WALL. ♪ They're just gonna live in there? ♪ YES. ♪ <i> Only pay for what you need.</i> ♪ Liberty. Liberty. Liberty. Liberty. ♪ <i> Doors can take us to new</i> <i> adventures and long-term goals.</i> <i> Your dedicated Fidelity advisor</i> <i> can help you open those doors.</i> <i> By helping you create</i> <i> a comprehensive wealth plan,</i> <i> With the right balance</i> <i> of risk and reward.</i> <i> Doors were meant to be opened.</i> >>> ARREST WARRANTS HAVE BEEN ISSUED FOR A COLLEGE FOOTBALL STAR AND TOP NFL DRAFT PROSPECT. POLICE SAY JALEN CARTER IS FACING CHARGES FOR A JANUARY CRASH THAT LEFT A TEAMMATE AND A TEAM STAFFER DEAD. HERE'S MIGUEL ALMAGUER. >> WOULD LIKE TO BUT JALEN CARTER HAS HIM AGAIN. >> Reporter: WIDELY CONSIDERED THE NFL'S TOP PROSPECT, TONIGHT ARREST WARRANTS HAVE BEEN ISSUED FOR 21-YEAR-OLD JALEN CARTER WHO NOW FACES MISDEMEANOR CHARGES OF RECKLESS DRIVING AND RACING AFTER A FATAL ACCIDENT IN >>> THERE IS A NEW WARNING FROM THE AMERICAN CANCER SOCIETY, RATES OF COLORECTAL CANCER IN THOSE UNDER 55 ARE RISING FAST, AND MOST ARE AT ADVANCED STAGE. TOM COSTELLO HAS MORE. >> Reporter: AT 45 JUSTIN KELLY THOUGHT HE WAS PROBABLY TOO YOUNG TO GET COLON CANCER, BUT WHEN HIS DOCTOR SAID THE RECOMMENDED SCREENING AGE HAD DROPPED FROM 55 TO 45, HE ORDERED A MAIL-IN COLOGUARD TEST. THE RESULT WAS POSITIVE. A COLONOSCOPY CONFIRMED STAGE 3 CANCER, AND JUSTIN IMMUNOTHET FALL. >> I'LL SHARE WHAT MY DOCTOR TOLD ME WHEN SHE CAME IN TO SHARE THE NEWS SHE SAID, YOU WOULDN'T HAVE MADE IT TO 50 WITHOUT COMING IN TO SEE ME THAT'S HOW FAR ALONG IT WAS >> Reporter: JUSTIN IS PART OF A YOUNGER GENERATION OF AMERICANS WHOSE COLORECTAL CANCER RATES HAVE NEARLY DOUBLED OVER 25 YEARS. IN 1995 11% OF THOSE 55 AND YOUNGER WERE DIAGNOSED WITH COLON CANCERND YOUNGER WERE DIAGNOSED WITH COLON CANCER. BY 2019 IT WAS 20%. >> UNFORTUNATELY, THERE HAS BEEN A RISE AS WELL IN ADVANCED STAGE DIAGNOSES WHERE THE COLON CANCER HAS NOT ONLY SPREAD TO LYMPH NODES, BUT ALSO TO DISTANT ORGANS IN THE FORM OF METASTASES. >> Reporter: THE SYMPTOMS TO WATCH FOR, A CHANGE IN BOWEL HABITS, BLOOD IN THE STOOL, ABDOMINAL PAIN, UNINTENTIONAL WEIGHT LOSS, FATIGUE AND SHORTNESS OF BREATH. WHILE IT'S THE SECOND LEADING CAUSE OF CANCER DEATH, MANY PEOPLE ARE RELUCTANT TO DISCUSS THEIR SYMPTOMS OR SEEK HELP. >> THERE NEEDS TO BE OPEN COMMUNICATION BETWEEN PATIENTS AND THEIR FAMILY MEMBERS ABOUT WHAT MIGHT BE GOING ON, AS WELL AS PATIENTS AND THEIR PRIMARY CARE PROVIDERS. >> Reporter: THE RISK FACTORS INCLUDE OBESITY, PHYSICAL INACTIVITY, A DIET LOW IN FRUITS AND VEGGIES BUT HIGH IN RED AND PROCESSED MEAT, SMOKING, HEAVY ALCOHOL USE AND A FAMILY HISTORY. WITH BLACK AMERICANS, NATIVE AMERICANS AND ALASKA NATIVES AT AN ELEVATED RISK. JUSTIN KELLY IS JUST GRATEFUL HE TOOK THE TEST. >> I DO SEE IT AS A CLOSE CALL. IF I HADN'T GOTTEN THAT PHYSICAL, I WOULD HAVE BEEN IN A VERY DIFFERENT SPOT. >> Reporter: DIAGNOSED AND NOW CANCER-FREE. TOM COSTELLO, NBC NEWS, WASHINGTON. >>> AND UP NEXT FOR US TONIGHT, HIS SCORES ♪♪ >>> FINALLY, THE HISTORY-MAKING OSCAR NOMINATION FOR THE MAN BEHIND SOME OF HOLLYWOOD'S MOST MEMORABLE FILM SCORES, AT 91, JOHN WILLIAMS IS UP AGAIN FOR BEST MOVIE SCORE, NOW THE OLDEST NOMINEE EVER TO COMPETE FOR AN OSCAR. [ PLAYING THE THEME FROM "JAWS" ] FROM TERRORS OF THE DEEP TO VISITORS FROM DEEP SPACE. ♪♪ JOHN WILLIAMS' MUSICAL SCORES HAVE LIFTED US. ♪♪ AND RAISED OUR PULSE. [ PLAYING THE THEME TO "STAR WARS" ] JOHN, I HAVE TO TELL YOU KNOWING I WAS GOING TO SIT DOWN WITH YOU THIS MORNING, ALL MORNING LONG, I'M HEARING YOUR THEMES IN MY HEAD FROM CERTAIN MOVIES. DA, DA, DA, DA, DA, DA. WHAT DO YOU THINK WHEN PEOPLE START HUMMING BACK YOUR TUNES? >> WELL, NO ONE COULD EVER HAVE GUESSED IT WHEN YOU'RE WRITING AND RECORDING FOR A PARTICULAR PURPOSE, AND WE FINISH THE FILM, AND IT'S DONE, YOU PUT THE MUSIC IN A DRAWER. >> Reporter: HIS MUSIC ENDURES. ♪♪ >> Announcer: THIS IS "NIGHTLY NEWS." >> Reporter: INCLUDING THE SIGNATURE THEME HE WROTE FOR THIS BROADCAST 38 YEARS AGO. >> THE PIECE IS ABOUT FOUR MINUTES LONG, AND THEY SAID, IF WE HAVE A SLOW NEWS DAY, WE'LL PLAY THE WHOLE PIECE. >> Reporter: WELL, NOW JOHN WILLIAMS IS IN THE NEWS. ♪♪ FOR HIS OSCAR NOMINATION AT 91. IS IT STILL A THRILL TO HEAR YOUR NAME? >> ABSOLUTELY. I GUESS I -- WELL, IT'S NOW 53 OSCAR NOMINATIONS, WHICH SEEMS UNREAL THAT ANYBODY COULD BE THAT OLD AND WORKING THAT LONG. >> Reporter: HE IS NOMINATED THIS TIME FOR "THE FABELMANS." ♪♪ ONCE MORE SHOWCASING ONE OF HOLLYWOOD'S MOST LASTING PARTNERSHIPS, JOHN WILLIAMS AND DIRECTOR STEVEN SPIELBERG. ♪♪ >> IT SEEMED THAT OUR SCORE SHOULD BE VERY LEAN, TOUCHING. >> Reporter: "THE FABELMANS" IS PERSONAL FOR SPIELBERG, A LOOSE TELLING OF HIS OWN STORY. DID THAT PRESENT A CHALLENGE TO YOU AS YOU BEGAN TO SCORE THE FILM? >> WELL, EVERY FILM IS A CHALLENGE, OF COURSE. YOU WANT TO SEARCH FOR WHAT SHOULD THE FILM SOUND LIKE, AS WELL AS LOOK LIKE. THIS IS AS PARTICULAR AND INTERESTING A CHALLENGE, IT'S STEVEN BEING SO FRANK, SO UNGUARDED ABOUT HIS FAMILY. >> Reporter: THE PAIR'S WORK SPANS FIVE DECADES. ♪♪ WILLIAMS' LAST OSCAR WIN WAS NEARLY 30 YEARS AGO. HE HAS WON FIVE FOR HIS MOVIE SCORES. I THINK MOST PEOPLE WOULD THINK YOU WOULD HAVE WON MORE BECAUSE YOUR MUSIC IS SO FAMILIAR. >> WELL, MY WIFE THINKS I SHOULD HAVE WON MORE, AND SOMEONE ASKED OF SAMANTHA, WHY DO YOU ALWAYS WEAR BLACK TO THE OSCAR? SHE SAID, BECAUSE WE LOSE EVERY YEAR. >> Reporter: WIN OR LOSE, JOHN WILLIAMS IS STILL HARNESSING THE POWER OF MUSIC TO BRING IMAGES TO LIFE. WHAT WOULD A SCORE OF YOUR LIFE STORY SOUND LIKE? >> OH, DEAR. I DON'T KNOW. I HOPE IT HAS A CELLO SOLO IN IT SOMEWHERE, THEN WE CAN HAVE YO-YO MA. I'VE JUST BEEN SO FORTUNATE IN IT AND SO TRULY BLESSED TO WORK IN MUSIC. ♪♪ >> THE OSCARS WILL BE AWARDED ON MARCH 12th. TH