Correct!
3. Thoracic CT scan
Correct!
3. Thoracic CT scan
The patient has several signs and symptoms that are worrisome. His 6 week history is suggestive of more than a self-limited upper respiratory infection; the neurological findings are unusual; and the bloody nasal discharge and presumed hemoptysis are also unusual; and the chest x-ray shows multiple pulmonary nodules. Therefore, treatment with empiric antibiotics for outpatient pneumonia is unlikely to be beneficial. The patient could potentially have bacterial endocarditis but there is no history consistent with endocarditis or signs pointing to cardiac dysfunction.
To better define the nodules a thoracic CT scan was performed (Figure 2).
Figure 2.Left panels A-C: representative static images from the thoracic CT scan in lung windows. Right: video of thoracic CT scan in lung windows.
Which of the following should be performed next? (Click on the correct answer to proceed to the third of five panels)