Correct!
3. The right upper lobe nodule appears slightly enlarged and now shows cavitation

Repeat thoracic CT, at about 6 months following initial presentation, shows slight interval enlargement of the subpleural right upper lobe nodule (increased from 18 mm to 23 mm maximum dimension) with development of central cavitation. While there is some mild ground-glass opacity on the margins of the enlarging nodule, the ground-glass opacity is not extensive enough to suggest an actively hemorrhagic lesion. No significant new nodules are present.

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 tenth and final page)

  1. Obtain thoracoscopic surgical lung biopsy
  2. Obtain transthoracic percutaneous needle biopsy
  3. Perform dynamic contrast-enhanced thoracic CT
  4. Perform right upper lobe surgical resection
  5. Serial imaging evaluation of the nodule to exclude growth

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