No Mediastinal Or Hilar in Medicine / Internal Medicine — 68yo Woman | Respiratory / Pulmonology | SMLE Q#18820
SMLE Question #18820
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-RESP-SPN-001
Last updated: March 2026
A 68-year-old woman is seen for follow-up of an incidental solitary pulmonary nodule. Chest CT 9 months ago showed a 5-mm solid right upper-lobe nodule. She is asymptomatic. She has a 50-pack-year smoking history and continues to smoke. Physical examination is unremarkable. Repeat chest CT shows the nodule has increased to 10.5 mm with no mediastinal or hilar lymphadenopathy. What is the most appropriate next step in management?
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