Correct!
4. 1 and 3

A PET scan had been performed in Wisconsin at the time of her thoracic CT scan (Figure 2).

Figure 2. Image from PET scan done November 2023 showing increased fludeoxyglucose F18 (FDG) uptake in the RLL.

None of the other lesions had a detectable increase in FDG uptake. A repeat thoracic CT scan showed an increase in the size of her RLL nodule (Figure 3).

Figure 3. Repeat CT scan showed an increase in the size of the RLL nodule (red arrow).

What is the next appropriate step? (Click on the correct answer to be directed to the third of six pages)

  1. Bronchoscopy
  2. Follow-up thoracic CT scan in 3 months
  3. Needle biopsy
  4. 1 or 3
  5. Any of the above

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