Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 70-year-old man was referred to the pulmonary office for evaluation of a lung nodule. He was previously diagnosed with stage 1 adenocarcinoma of the rectum , for which he underwent low anterior resection without any complications.

He also underwent routine surveillance that included a combined tumor marker and radiological evaluation every three months. Investigations A PET-CT scan revealed a PET-positive right upper lobe (RUL) lung nodule measuring 1.9x1.6 cm , abutting the mediastinal pleura , with a standard uptake value (SUV) of 3.2. Bronchoscopy with transbronchial lung biopsies was performed on the patient; however, the results were non-conclusive. A surgical lung biopsy was conducted…