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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