Correct!
5. The 18FDG-PET scan shows suitable targets for additional intervention

The 18FDG-PET scan shows numerous metabolically active mediastinal and supraclavicular lymph nodes, splenic lesions, and osseous lesions. The 18FDG-PET scan shows that these lymph nodes may harbor pathology and thus represent targets for intervention. The pleural effusions are not metabolically active and thus are less attractive for intervention. While the 18FDG-PET scan shows metabolically active osseous findings, bone lesions are typically less attractive for intervention because processing material for molecular testing to identify the biomarkers in the context of cancer staging is suboptimal when such material is obtained from bone biopsies. Also, although percutaneous interventions on the spleen are possible, owing to the highly vascular nature of this organ, such interventions are commonly a last resort.

Infectious Disease was consulted. Which of their following represents the most appropriate recommendations for the patient’s management? (Click on correct answer to be directed to the eighth of ten pages)

  1. Blood, urine, and stool culture for acid-fast bacilli
  2. Fungal testing (blastomycosis serology, histoplasmosis serology, histoplasmosis urine antigen, Fungitell testing for invasive fungal infection, serum Aspergillus antigen, fungal blood culture, urine cocci antigen)
  3. Perform chest CT
  4. Perform Quantiferon testing
  5. All of the above

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