Correct!
5. The abdominal MR shows the same mass at CT, but adds little additional information to that already available with CT

The abdominal MR examination shows the same mass that was seen at thoracic CT. The mass clearly enhances- compare the unenhanced fast spoiled-gradient echo image (Figure 3, panel F) to the enhanced fast spoiled-gradient echo images (Figure 3, panels G-I). There is relatively little additional information available at this MRI examination compared with that already known at thoracic CT. The mass has a broad contact with the posterior chest wall- the mass is not pedunculated and no stalk is visible. The mass appears relatively indolent- no locally aggressive features, such as chest wall invasion, chest wall destruction, or significant mass effect- are evident. No other sites of abnormal signal are present on this MR examination.

Which of the following represents an appropriate next step for the evaluation of this patient? (Click on the correct answer to proceed to the fifth of nine panels)

  1. 68Ga-citrate scanning
  2. 99mTc-MAA ventilation-perfusion scintigraphy
  3. Inspiratory and expiratory chest radiography
  4. Lateral decubitus CT
  5. Thoracic CT

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