Hello @grandpop1949 , Welcome to Mayo Connect. The size of the nodule and lymph node activity certainly warrants further investigation. The uptake numbers aren’t off the charts so no need to panic yet, but I know it’s easy to say that, and more difficult to actually do. Needle Biopsy of lymph fluid is generally easier than nodules, simply because of the location. Lung nodules can be accessed through different types of biopsy depending on the location or the nodule. Some hospitals offer robotic bronchoscopy that can access nodules deep in the lung. I’ve had needle biopsies, EBUS (which is ultrasound guided), and robotic. I have them all covered, ha, lucky me!
What has your doctor recommended? Are you seeing a pulmonologist at this point?