Correct!
4. Primary bronchogenic malignancy
The differential diagnosis for a solitary pulmonary nodule in an adult patient is broad, but when one notes that the nodule is poorly defined, unaccompanied by any laboratory data suggesting an infectious etiology, and the nodule shows elevated tracer utilization at 18FDG-PET scan, the leading diagnostic consideration is primary bronchogenic malignancy.
At this point, which of the following represents the most appropriate step in this patient’s management? (Click on the correct answer to be directed to the ninth of sixteen pages)