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Q. |
A 59-year-old man who is a heavy smoker presents with cough, shortness of breath, and a sensation of head fullness. Physical examination is notable for cervical venous distention and facial edema. A chest radiograph shows a widened superior mediastinum. What is the most appropriate initial intervention for this patient? |
A. | Initiation of radiation therapy while a diagnostic work-up is pursued |
B. | CT of the chest and consultation with a pulmonologist and a thoracic surgeon |
C. | CT of the chest and a venous dye study to rule out thrombosis of the superior vena cava |
D. | Mediastinoscopy with biopsy |
E. | Ventilation/perfusion scan |
Answer» B. CT of the chest and consultation with a pulmonologist and a thoracic surgeon |
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