1. The chest radiograph shows circumscribed nodular opacities

Frontal and lateral chest radiography shows a normal heart size. Lung volumes appear normal and no linear or reticular opacities to suggest interstitial lung disease is seen, nor is there consolidation. No pleural abnormality is present. A circumscribed opacity is present in the lateral right lung on the frontal projection, seen in the caudal substernal region on the lateral study. A second circumscribed opacity may be present in the medial right cardiophrenic angle region on the frontal projection.).

Which of the following courses of action is the most appropriate next step for the management of this patient? (Click on the correct answer to be directed to the third of ten pages)

  1. 18FDG-PET scanning
  2. Bronchoscopy with transbronchial biopsy
  3. Comparison to prior thoracic imaging studies
  4. Percutaneous transthoracic fine needle aspiration biopsy
  5. Thoracic MRI