Correct!
1. Chest frontal imaging shows a focal right lung nodule

The frontal and lateral chest radiographs show normal lung volumes; no evidence of basal fibrosis is present, nor is there evidence of peribronchial or mediastinal lymph node enlargement. However, a focal nodular opacity is present in the right upper lobe. There is no evidence of numerous, small, disseminated pulmonary nodules and only one nodule is seen, in the right upper lobe (Figure 2).

Figure 2. Initial chest x-ray with right upper lobe nodule (arrow).

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 third of ten pages)

  1. Obtain 18FDG-PET scan
  2. Obtain prior chest radiographs or thoracic imaging for comparison
  3. Obtain routine enhanced thoracic CT
  4. Obtain surgical lung biopsy
  5. Treat presumptively with antibiotics and reimage in 2 week

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