Blood test sgot/alt 40 abnormal high, lymph 1.1, abnormal low, w/all mediastinal & bilateral hilar nodes enlarged + virchows node. what could it be?

Until proved not...: ... Our principal concern is cancer. I would draw no conclusions from the lymphocyte count, the SGOT / alt being somewhat high is merely suggestive, but the big nodes are going to require biopsy. Maybe it's a medication reaction, sarcoidosis, or any of a host of other possibilities. But we want to get at the truth. Good luck.