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A 66-year-old woman has a 3-month history of dry cough and weight loss.

A 66-year-old woman has a 3-month history of dry cough and weight loss. A new chest radiograph reveals a large 2-cm mass in her right upper lobe, which is consistent with carcinoma. You look at her previous films and realize that you had read her chest radiograph as normal 1 year ago, but now clearly see a faint opacity in precisely the same location as her current lesion. Which one of the following is the best next step?

A.

Remark only on the new chest radiograph in your report

B.

Comment on the previous chest radiograph and the new one in your report

C.

Prepare a report only after communicating with your department head

D.

Write a report only after communicating with your professional insurer

E.

Create a report only after communicating with your medical regulatory authority

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