Correct!
3. Thoracic CT shows interval development of borderline to-mild mediastinal lymph node enlargement

Thoracic CT shows interval development of borderline-to-mildly enlarged mediastinal lymph nodes on the presentation thoracic CT relative to the comparison thoracic CT performed 8 years earlier. There is no evidence of anterior mediastinal mass on either the current or prior thoracic CT examination, and no calcification is seen within the mediastinal lymph nodes on either study.

At this point, which of the following represents the most appropriate step in this patient’s management? (Click on the correct answer to be directed to the sixth of nine pages)

  1. 18FDG – PET
  2. Bronchoscopy with transbronchial biopsy and possibly lymph node biopsy
  3. Cervical mediastinoscopy
  4. Open surgical lung biopsy
  5. Video-assisted thoracoscopic biopsy

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