Correct!
4. 1 and 3
Comparison to a previous chest x-ray is a good idea although it is unlikely the 2.7 cm nodule would be missed. Previous chest-x-rays did not show the nodule. A thoracic CT scan will confirm the presence of the nodule as well as ensuring that other pathology is not present such as other nodules of mediastinal lymphadenopathy. Since there are a number of possibilities for the nodule including metastatic bladder or kidney cancer, primary lung cancer or an infection such as coccioidomycosis, a thoracic CT scan may help narrow the differential. The thoracic CT scan showed only the presence of the left upper lobe nodule (Figure 2).
Figure 2. Representative image from thoracic CT scan showing left upper lobe nodule without calcium. No other nodules or lymphadenopathy was identified.
What should be done at this time? (Click on the correct answer to be directed to the third of eight pages)