“…The diagnostic yield of transbronchial biopsy is very limited in this case and is no more than 15% to 30% in lesions under 2 cm, especially if these are in the distal third of the airway. 1 The same could be said about fine needle aspiration of enlarged mediastinal lymph nodes, albeit for different reasons. In this case, the frustration lies in the difficulty in reproducing the diagnostic yield of very experienced hospitals, 2 especially those, such as ours, that are fortunate enough to have a histopathologist present during the procedure.…”