Correct!
1. The thoracic CT shows a non-specific, non-calcified, lobulated left upper lobe nodule corresponding to the chest radiographic finding

The unenhanced thoracic CT shows a lobulated, non-calcified nodule in the left upper lobe, corresponding with the finding present at chest radiography. The CT shows no morphologically specific features, such as fat or calcium, which would suggest a specific diagnosis or allow the lesion to be regarded as likely benign. There is no evidence of a “feeding artery” or “draining vein” that would indicate that he nodule represents an arteriovenous malformation. A few other nodules are visible in the lungs bilaterally, but a “miliary” pattern- diffuse, randomly distributed small, round, discrete nodules (1-3 mm), and typical of a hematogenously disseminated process- is not present.

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

  1. 18FDG-PET scanning
  2. 68Ga-citrate scanning
  3. 99mTc-MAA ventilation-perfusion scintigraphy
  4. Comparison to prior imaging
  5. Repeat enhanced thoracic CT

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