Q. A 40-year-old African-American man visits your primary care clinic for a routine check-up. During the examination, you review the patient's chest X-ray, which was taken as part of the routine screening process. The X-ray shows an incidental finding of a well-defined calcified nodule with fibrotic scarring in the upper lobe of the right lung. The patient has no history of active respiratory symptoms. On further inquiry, the patient mentions that they immigrated from a high TB prevalence country more than 15 years ago. What is the most appropriate next step in the management of this patient?