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You seem to have a good understanding of your medical situation. The part of your comment that popped out at me was " i also want to push for a biopsy but i'm so worried as being seen as "that patient." does it make sense to at least ask for a biopsy, even if just for piece of mind?"
I'm also often worried that I'll be perceived as a difficult patient. I'm not even sure where this fear comes from, as I'm usually on congenial terms with my doctors. But I do have it. I'm guessing that if you use your question as a way to open communication, and even test out how well you and the doctor can communicate, things will go smoothly. The doctor is there in part to address your concerns. Plus, you can always get a second opinion. How are you feeling going forward?
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I'm feeling more confident that i can push for at least a second opinion - i'm hoping for a biopsy but i will settle for if they can even have a different radiologist take a look. I have a history of being dismissed by doctors, has happened most of my life. A few years ago i had weird symptoms like being tired all the time, having to pee a lot, i asked my family doctor for bloodwork to check for type 2 diabetes as i have a strong genetic tie to that - he dismissed me..told me "you're just a busy mom with 3 kids." I had to push flor bloodwork, finally he agreed and what do you now, i was diagnosed with Type 2 diabetes. i need to worry less about being seen as "that patient." it's funny because i work at a family health team (i'm a social worker) and i work with doctors who often complain about patients who want one more test, or want this or that and how they sometimes feel personally offended. I met this oncologist 6 months ago after my first appt at the cancer centre - she seemed nice enough i suppose but was pretty dismissive. i'm going in "armed" with questions and valid reasons why this needs to be looked at further - i'm also bringing a friend with me, who used to be a nurse at the clinic where i work, just for support and maybe articulating the medical side of it if i am struggling to do that.