Is a 1.5 x 1.4 x 1.4 cm nodule in submandibular gland biopsiable? u/s left superior to the gland, hypoechoic, ? enlarged gland - inferiorly adjacent node 0.8 x 0.5 x 1.1 with fatty hilum. hx: recent dental implant work with bone grafts. no symts.

?biopsy: In this situation I believe that an oral surgeon or ENT specialist should sit down with the radiologist and review the ultrasound, ask the radiologist for a differential diagnosis and whether any further imaging studies would be helpful in making a diagnosis and then make a decision whether a biopsy or just a follow-up ultrasound in a few weeks is advisable.