Question 2202
{"accessible":true,"alternatives":[{"id":10921,"text":"CT chest with IV contrast"},{"id":10922,"text":"MR chest with IV contrast"},{"id":10920,"text":"no further evaluation necessary"},{"id":10923,"text":"PET scan"}],"archived":false,"correctAlternativeId":10920,"explanation":"\u003cp\u003eThe nodules are all densely calcified and represent calcified granulomas from old \u003ca href=\"/articles/tuberculosis\"\u003etuberculosis\u003c/a\u003e, therefore, no further evaluation is necessary.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":2202,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/426/bilateral-pulmonary-nodules-tuberculous-granulomas-1_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":51543},"imageAttributionCaseInfo":{"title":"Bilateral pulmonary nodules - tuberculous granulomas","contributor_name":"Callum Smith","contributor_param":"smitcall","case_rid":51543,"case_param":"bilateral-pulmonary-nodules-tuberculous-granulomas-1"},"firstQuestionPath":"/questions/2202","nextQuestionPath":null,"relatedArticles":[{"id":6540,"title":"Hyperdense pulmonary nodules","link":"/articles/hyperdense-pulmonary-nodules?lang=us"},{"id":14510,"title":"Calcified pulmonary nodules","link":"/articles/calcified-pulmonary-nodules?lang=us"},{"id":73779,"title":"Hyperattenuating pulmonary consolidation","link":"/articles/hyperattenuating-pulmonary-consolidation?lang=us"}],"alsoUsedIn":[{"id":1026,"kind":"Course","title":"Chest X-ray: Graphic Novel - page 1026","link":"https://radiopaedia.org/courses/chest-xray-graphic-novel/pages/1026"}],"stem":"\u003cp\u003eA 70-year-old man presents with acute chest pain. As part of his evaluation, a portable chest x-ray is obtained. What is the most appropriate next step in managing his pulmonary nodules?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2202"}],"attemptsPercentages":[{"alternativeId":"10922","percentage":1},{"alternativeId":"10920","percentage":25},{"alternativeId":"10921","percentage":63},{"alternativeId":"10923","percentage":11}],"promptToLogin":false,"questionManager":false,"articleId":"nodular-opacification"}