Correct!
1. The unenhanced thoracic CT shows improvement in the ground-glass opacity

The repeat thoracic CT shows improvement in the multifocal ground-glass opacity seen on the thoracic CT performed near the time of presentation. No cavitary nodules are present, nor is new significant interlobular septal thickening seen.

The patient was begun on stomach acid-blocking therapy for presumed reflux, with the plan to have him return to clinic for repeat assessment in 6 months. Approximately 2 months later, the patient telephoned his physician, complaining of repeated hemoptysis, again with cough, but without dyspnea on exertion.

Which of the following represents the next most appropriate step for the evaluation of this patient? (Click on the correct answer to proceed to the seventh of nine pages)

  1. Flexible fiberoptic bronchoscopy
  2. Mediastinoscopy
  3. Repeat thoracic CT
  4. Thoracentesis
  5. Thoracic MR

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