Correct!
3. The left posterior inferior thoracic lesion was previously smaller

Although the left posterior inferior thoracic lesion was not reported prospectively, the lesion was present on that study and was smaller. Interval growth between the previous whole-body MR and the chest CT has likely occurred.
Testing for coccidioidomycosis was unrevealing.

Which of the following represents the most appropriate next step for the patient’s management? (Click on the correct answer to be directed to the ninth of 10 pages)

  1. Video – assisted thoracoscopic surgical biopsy
  2. 18FDG-PET scan
  3. Bronchoscopy with transbronchial biopsy
  4. Transthoracic needle biopsy
  5. Open resection

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