A 57 year old recently retired demolitions worker complains of increasing shoness of breath. The patient was a chronic heavy cigarette smoker through his adult life but quit about a year before presentation. A chest CT was performed.Which of the following steps is not appropriate in the evaluation of this patient?
A
positron emission tomography (PET scan)
B
bronchoscopy
C
computed tomography directed biopsy of the lesion
D
follow-up CT in 3 to 6 months to document stability of the lesion