I have had RA for 4 years with most of the time spent in remission. Lately I had noticed many nodules on my fingers and elbows. My finger nodules have been so enlarged that they've been injected with steroids to shrink them. My problem is that I have been hoarse for close to six months but my ENT blames it on GERD. I take Nexium and the problem has not dissipated whatsoever. Could I have a nodule on my vocal cord. When my ENT scopes me would he be able to see it? I'm also on MTX .4mg? 1x injectable and Enbrel.