Question: A 44 year old woman reports a 50 lb weight loss, fever, and night sweats. CT demonstrates multiple rounded lymph nodes in the neck. Upper airway examination is unremarkable. LDH is elevated at 1500. What is your next step in management?

a) MRI neck

b) Fine needle aspiration biopsy of an enlarged lymph node

c) Core needle biopsy of an enlarged lymph node

d) Serum TSH

[Answer will be posted with next week's new question]

Answer to last week's question, “There All Along” (December 21, 2020)

A - Congenital cholesteatoma