As far as I know...
1) KHV does not present itself as 'lesions'
2) KHV can lay dormant and kill only when temperatures fluctuate in a certain range
2) KHV does not affect goldfish, only koi (not sure if golfish can be carriers)
3) Goldfish can carry GHV (goldfish herpes virus) which can't affect koi
4) Goldfish can carry SVC (Spring Viremia of Carp) which is another viral disease that can affect koi and can be as devastating as KHV
4) A bump as described sounds more like a lymphocystis
There used to be a good website for help with diagnosing goldfish ailments. PureGold I think but I can't find it anymore. Here's a link to the Bristol Aquarists site that has some good info on goldfish diseases, symptoms and treatment:
http://www.bristol-aquarists.org.uk/goldfish/info/diseases.htmP.S. I'm not an expert but I have been interested in these fish diseases for a while now, mostly from a goldfish perspective. I've also had goldfish with lymphocystis that lived long, happy lives.