Man with coughing and bloody sputum
Author and Disclosure Information [Show]

Karl J. D'Silva, MD, Clinical Assistant Professor, Department of Medicine, Tufts University School of Medicine, Boston; Medical Director, Department of Oncology and Hematology, Lahey Hospital and Medical Center, Peabody, Massachusetts

Karl J. D'Silva, MD, has disclosed no relevant financial relationships

Question 1 of 3

A 53-year-old man, a stockbroker, was admitted to the hospital because of bloody sputum. He had been well until 3 months ago, when coughing produced bloody sputum on awakening. Blood-streaked sputum was noted every 3 days for 2 months before admission. He had smoked 30 cigarettes a day for 25 years. His family history was noncontributory. On physical examination, rales were detected over the lung fields. On admission, findings on a conventional chest x-ray revealed a left hilar mass.

What would be an appropriate next step in diagnosis?

Bronchoscopy

Mediastinoscopy

Genetic testing

MRI

This quiz is not accredited for CME.

More from Case in Point: Lung Cancer

QUIZ

Fatigue and persistent cough
Fatigue and shoulder weakness
Fatigue, cough, and dyspnea
Recurrent fever and wheezing
40–pack-year smoking history
Man with dyspnea and chest pain
Chronic cough and lack of sleep
Woman with previously diagnosed SCLC