Correct!
4. Chest frontal imaging shows focal masses
The frontal radiograph shows bilateral pulmonary masses- one vague opacity in the left apex, the other projected over the right base. Both findings were not present on a chest radiograph performed 3 years earlier. Lung volumes appear normal and no findings suggesting interstitial lung disease are seen. The mediastinal and hilar / peribronchial contours are within no limits- no mediastinal mass or evidence of lymph node enlargement is present. No abnormality affecting the pleura is seen.
The patient underwent testing for exposure to fungal infection, including coccioidomycosis and histoplasmosis, both of which were unrevealing.
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)