MCQ 43

50 y.o male who migrated to Australia from central Africa 10 years ago presented with 2 weeks history of cough and lethargy. FBC, CRP and EUC - unremarkable. CXR showed circular mass in right apex. What will be your next step for investigation?

1. Commence on AKT (antituberculosis treatment)
2. Arrange sputum AFB staining and if negative reassure patient
3. Arrange culture for tuberculosis and await result before embarking on treatment
4. It is likely that it is old tuberculosis and don't need to do anything
5. Treat him as community acquired pneumonia