I am seeing my PCP for left neck swelling and extreme fatigue. An ultrasound of my thyroid showed a left nodule that has grown from 0.8, 0.5, 1 cm to 1.1, 0.6, 1 cm in 1 year with now cervical lymphadenopathy. I was sent to an ENT which took 3 weeks. At this time I have had the noticeable left neck/shoulder enlargement for 4 weeks, extreme fatigue and now nausea and some loss of appetite. The ENT started that it could be thyroid cancer however was less likely due to the fatigue and normal thyroid levels and so he was not going to do a biopsy. He also downplayed the nodule and the lymph node enlargement although there is a noticeable lump on my neck/shoulder area as well as left neck enlargement. He said it could be Lyme (I do not go hiking or in the woods, no tick bite, and no bulls eye rash), autoimmune, or lymphoma. All of these are outside his area so sent me back to my PCP. I now have started feeling nodules under my left armpit and my symptoms have gradually gotten worse. Please help!