A 64-year-old woman with emphysema (forced expiratory volume…
A 64-year-old woman with emphysema (forced expiratory volume in one second (FEV1) of 1.35) is found to have a 1 cm solitary pulmonary nodule in the peripheral left lower lobe on routine chest x-ray. The only other abnormality on the film is hyperinflated lung fields. Chest computed tomography scan reveals that the lesion abuts the pleura and has no evidence of calcification within it. What is the most appropriate initial management?