A 62-year-old woman presented with back pain for two months. Clinical Features: Chest X-ray was non-diagnostic. The CT scan showed a 1.4 cm pulmonary nodule in the basilar segment of the left lower lobe as well as a lytic lesion in the T10 vertebral body and a hypodense lesion within the right kidney. Two fine needle aspirates (FNA) of the lung lesion were non-diagnostic. The whole body PET scan confirmed increased uptake in the lung and lower thoracic spine (T10). Clinically, she reported weight loss of approximately 5 kgs.
over the past two months. She denied cough, hemoptysis, SOB, fever, or night sweats. Her past history includes two benign right breast masses removed two years ago and total hysterectomy for fibroids 8 years ago. Her lung nodule was wedge resected first followed by the resection of vertebral lesion. What tests should be performed next? What can be the possible…
