Correct!
2. Multiple calcified hilar lymph nodes

The thoracic CT scan does not show an occult consolidation such as a right middle lobe pneumonia and does not show diffuse lymphadenopathy. However, it does show multiple calcified hilar lymph nodes, some of which appear to be projecting into the bronchi (Figure 3).

Figure 3. Selected images from thoracic CT scan calcified hilar node projecting into bronchus (red arrows).

Which of the following would be appropriate at this time? (Click on the correct answer to proceed to the last panel)

  1. Broncholithectomy
  2. Bronchoscopy
  3. Left pneumonectomy
  4. Mediastinoscopy
  5. Pulmonary angiography

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