Hx of cardiac paraganglioma. 35 years old. Current left adrenal adenoma. Recent CT with contrast found posterior Level 5 lymph node swollen to 9mm (3mm in July's scan). There are also several more jugulodigastric and submandibular lymph nodes that are swollen and increased since July (largest being 11mm). Is metastasis a possibility? Will be seeing my endocrinologist this week and would like to know if Fine needle biopsy should be indicated.