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The patient is discussed in the multidisciplinary chest conference. A decision is made to proceed with bronchoscopy in order to evaluate for possible airway involvement of tumor, given the patient's new onset of hemoptysis, and to perform EBUS-TBNA in an attempt to confirm progression of disease within the mediastinum due to the suspected progression of disease on PET-CT. Bronchoscopy revealed mucosal abnormalities within the right bronchus intermedius and EBUS imaging confirmed the presence of mediastinal and hilar lymphadenopathy.