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A 72-year-old smoker develops a left lower lobe pneumonia that is treated with a 5-day course of…

A 72-year-old smoker develops a left lower lobe pneumonia that is treated with a 5-day course of azithromycin. His symptoms and lobar infiltrate do not improve and he is admitted to the hospital for IV antibiotics. Upon further inquiry, he has also had blood-streaked sputum and lost 25 pounds over the past 2 months. Which of the following is a reasonable next test that will most likely yield a specific diagnosis? A. CT scan of thorax B. MRI of thorax C. Bronchoscopy D. Mediastinoscopy E. Open biopsy

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