Correct!
3. 18FDG-PET scan shows no significant metabolic activity in the right upper lobe

The 18FDG-PET scan shows no significant metabolic activity in the right upper lobe nodule (standard uptake value= 1.8). No peribronchial or mediastinal lymph node tracer utilization was identified. The scan appears technically adequate- normal blood pool and muscle tracer activity is visible. No evidence of artifact to suggest that the 18FDG-PET scan cannot be accurately interpreted is noted.

Given the data available, which of the following represents the most appropriate management step for the evaluation of this patient? (Click on the correct answer to proceed to the eighth of ten pages)

  1. Obtain thoracoscopic surgical lung biopsy
  2. Obtain transthoracic percutaneous needle biopsy
  3. Perform 68Ga – PET – CT dotatate scan
  4. Perform pleuroscopy
  5. Serial imaging evaluation of the nodule to exclude growth

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