Correct!
1. The right pleural effusion appears relatively simple

Repeat transthoracic ultrasound of the right pleural space shows a relatively homogeneously hypoechoic pleural fluid collection, without pleural nodularity, internal septation, features suggesting loculation, or findings to suggest pleural space gas. The lung appears collapsed, perhaps merely passive atelectasis, but trapped lung, due to visceral pleural restriction, is not excluded.

Based on the information thus far, which of the following is the most appropriate course of action? (Click on the correct answer to be directed to the fourteenth of seventeen pages)

  1. Bronchoscopy
  2. Autoimmune serology panel
  3. Repeat biopsy of the pleura to exclude malignancy
  4. 18FDG – PET scan
  5. Enhanced chest MRI

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