5. There is right middle lobe consolidation

The lesion is in the right chest obscuring the right heart border. There are air bronchograms present indicating that this is most likely consolidation. This could be a large right chest mass although this is less likely than consolidation especially with air bronchograms present. A right ventricular aneurysm of this size would be very unusual. Antibiotics failed to resolve the lesion, although his chest discomfort resolved.

Which of the following should be performed next? (Click on the correct answer to proceed to the third of five panels)

  1. Bronchoscopy
  2. Video-assisted thorascopic surgery (VATS)
  3. Coccidioidomycosis serology
  4. 1 and 3
  5. All of the above