Hello gustavo, thank you for replying and for all your good wishes for Mom. We're going through some very difficult days. We've received the results of the PET/CT scan. The 16mm nodule is solid, irregular, and spiculated, located on the periphery of the right upper lobe. It presented an SUVmax uptake of 2.88 and SUVmean of 0.60, with no other hypermetabolic findings in the lymph nodes or mediastinum. I thought this was relatively good news, as up until now I'd read SUVmax values of 5 or higher as indicators worth paying attention to. However, the doctors are determined to move forward with surgery; they tell us that a biopsy isn't an option as it might not be conclusive. This was yesterday. We were extremely anxious, as we were very excited to see what information the needle biopsy would provide (with faith that it was benign) and avoid a procedure as invasive as surgery. Everyone had told us about the importance of a biopsy. The first surgeon we spoke with at the time had told us that the area was accessible for needle biopsy. Her cardiologist, in turn, told her she had a low-metabolism lesion, so we can't understand why her pulmonologist would proceed with a bronchoscopy only to visualize the airways, lymph nodes, and mediastinum, as they say they don't think they can reach the nodule. The fact that they're recommending direct surgery with the intention of a lobectomy worries me. I can understand the urgency, but I don't fully understand the aggressiveness. Could you help me with your opinions or feelings?