Correct!
2. 18FDG – PET shows hypermetabolic activity within both the focal right upper lobe opacity and the mediastinal lymph nodes

18FDG-PET scanning shows hypermetabolic activity within both the focal right upper lobe opacity and the mediastinal lymph nodes. The study is of good quality and is not technically limited.

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 eighth of nine pages)

1. Bronchoscopy with biopsy and possibly lymph node biopsy
2. Cervical mediastinoscopy
3. Contrast-enhanced thoracic MRI
4. Repeat thoracic CT performed with high-resolution technique
5. Video-assisted thoracoscopic biopsy
   

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