There is a critical need for a technology that can assist doctors in more accurately evaluating lung nodules at the time of biopsy. To address this need, a multispectral fluorescence line-scan confocal endomicroscope was developed that employs a fiber bundle probe to image tissue at the distal tip of the biopsy introducer needle. The multispectral nature of the instrument allows the simultaneous use of multiple FDA-approved dyes that stain different cellular/tissue compartments in different spectral regions to distinguish between lung cancer and benign conditions of the lung. The imaging system has been used to image normal rat lung as well as ex vivo human core-biopsy lung tissue.