No Change in Medicine / Internal Medicine — 72yo Man | Respiratory / Pulmonology | SMLE Q#17635

SMLE Question #17635

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-RESP-SPN-001

Last updated: February 2026
A 72-year-old man is evaluated after an incidental solitary pulmonary nodule on chest CT. He is a former smoker (40 pack-years) and has no cough, hemoptysis, dyspnea, fever, or weight loss. The nodule is solid and measures 8 mm. Review of prior imaging shows CT surveillance over 3 years with no change in size or morphology. What is the most appropriate next step in management?

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