Many rt. Paratracheal/mediastinal, bilateral hilar nodes consistent w/metastasis. Right subcarinal metastatic node mass 3cm. Max suv 9.1. Lung cancer?
Needs Biopsy. Is there a known primary cancer? If not, you will need a biopsy of one of the nodes. Your doctor may suggest a mediastinoscopy and biopsy to get a tissue specimen. There are other causes of mediastinal node enlargement such as infection and sarcoidosis so it is important to make a definite diagnosis. Good luck.
You report. Part of the story (do you smoke, is there a lung lesion, has there been a biopsy?), and the pet findings mean something is not right, from a benign oddity called sarcoid, to lymphoma, to lung cancer. Share your concern with the doctor ordering the pet scan, and if for whatever reason you mistrust the doctor, get a second opinion.
Lung cancer. Did you have biopsy done at all so far?