- CT chest- Sputum cytology- Biopsy of suspicious lymph nodes

- Flexible fiberopic bronchoscopy: Biopsy taken when any endobronchial lesion is noted- Pleural biopsy if pleural effusion is present- Mediastinoscopy and anterior mediastinostomy when there is suspicion of mediastinum involvment of the tumor- Transthoracic FNA biopsy under CT or fluoroscopic guidance when a peripheral pulmonary nodule is present

- Consult pulmonary medicine/cardiovascular surgery - CBC with diff and BMP, daily- Supplemental oxygen therapy