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Review Question - QID 212928

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QID 212928 (Type "212928" in App Search)
An 81-year-old man reports a year of worsening right groin pain and swelling. A current radiograph and recent MRI are shown in Figures A and B, respectively. ESR and CRP are within normal limits. Aspiration yields 8cc of black liquid with an automated cell count of 7,000 WBC. Manual cell count demonstrates 1,500 WBC and 62% neutrophils. Serum cobalt levels are 12ppb and chromium levels at 2ppb. What is the next best step in management?
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