Header

Correct!
5. All of the above

Figures 2A and B: Axial (A) and coronal (B) thoracic CT shows upper lobe predominant bullae and traction bronchiectasis with linear interstitial-appearing opacities associated with architectural distortion; calcified hilar and mediastinal lymph nodes are present. A cavity containing a nodular opacity is present within the superior segment of the right lower lobe, accounting for the appearance on the chest radiograph. The upper lobe predominance of the fibrotic abnormalities is shown to advantage on the coronal images (2B).

Among the following choices, which is NOT a potentially appropriate next step for management of this patient's hemoptysis?

  1. Surgical resection of the cavitary lesion
  2. Bronchial artery arteriography and embolization
  3. Percutaneous instillation of antifungal medication into the cavity
  4. Bronchoscopy
  5. Transthoracic percutaneous CT-guided biopsy of the intracavitary lesion