Question

A 63-year-old man with a history of smoking presents with chronic cough, haemoptysis and weight loss. Chest X-ray shows a right upper lobe mass. Which investigation is most appropriate to establish a tissue diagnosis and stage the disease?

Accepted Answer

Bronchoscopy with biopsy and CT imaging

Answer

Sputum culture only

Answer

Empirical antibiotics and repeat imaging in 6 months

Answer

Spirometry

Answer

Echocardiography

Practice question

A 63-year-old man with a history of smoking presents with chronic cough, haemoptysis and weight loss. Chest X-ray shows a right upper lobe mass. Which investigation is most appropriate to establish a tissue diagnosis and stage the disease?