Question

A 67-year-old man with COPD and a 40 pack-year smoking history presents with unintentional weight loss and a new persistent cough. Chest X-ray shows a right upper lobe mass. Which of the following is the MOST appropriate next investigation to characterise the lesion?

Accepted Answer

Contrast-enhanced CT scan of the chest

Answer

Repeat chest X-ray in 6 months

Answer

Sputum culture only

Answer

Empirical antibiotics and no imaging

Answer

Peak flow monitoring

Practice question

A 67-year-old man with COPD and a 40 pack-year smoking history presents with unintentional weight loss and a new persistent cough. Chest X-ray shows a right upper lobe mass. Which of the following is the MOST appropriate next investigation to characterise the lesion?