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Solitary pulmonary nodule — SCE Respiratory MCQ

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ModerateLung CancerSolitary pulmonary noduleSCE Respiratory

A 57-year-old smoker has an incidental 9 mm solid pulmonary nodule on CT colonography. There are no previous scans and no lymphadenopathy. He is otherwise well. What is the most appropriate investigation?

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Correct answer: E — Risk-stratified nodule assessment with thin-section CT surveillance or PET-CT pathway

A solid pulmonary nodule should be managed using validated malignancy-risk assessment and nodule guidelines, with thin-section CT surveillance or PET-CT depending on size and risk. Immediate pneumonectomy is disproportionate without staging and diagnostic confirmation. Discharge without follow-up risks missing early lung cancer.

Reference: BTS Pulmonary Nodule Guideline 2015; NICE NG122