Question

A 70-year-old with long-term smoking presents with chronic cough and weight loss. Low-dose CT shows a 1.6-cm solid solitary pulmonary nodule in the upper lobe; prior imaging 2 years ago was normal. Next best step?

Accepted Answer

PET-CT or tissue diagnosis based on risk stratification

Answer

Annual surveillance only

Answer

Start antibiotics and repeat CT in 4 weeks

Answer

Ignore due to size <2 cm

Answer

Bronchodilator trial

Practice question

A 70-year-old with long-term smoking presents with chronic cough and weight loss. Low-dose CT shows a 1.6-cm solid solitary pulmonary nodule in the upper lobe; prior imaging 2 years ago was normal. Next best step?