What to do with your patient
with a nodule?
l Is it likely to be cancer?
l How big is it?
l Nodule >1 cm:  plenty of options:
l CT follow up
l PET
l CT enhancement
l FNABx
l Nodule <1 cm
l Difficult to biopsy with needle
l PET not reliable as negative test
l CT enhancement difficult because of  volume averaging, motion
l Bronchoscopy has poor sensitivity