Clinical Examples in Radiology (CER) online newsletter is provided for coding professionals to test their knowledge based on review of relevant modern case studies. In this issue learn how to code in the case of a patient with a 20-pack-year smoking history who recently had a computed tomography (CT) scan of the chest for a persistent cough. The CT scan revealed a 13-mm pulmonary nodule in the right upper lobe (RUL). The patient was referred to the lung nodule clinic for further evaluation, tissue characterization, and clinical review. Apply coding techniques in the case of a patient with focal liver lesions who previously had an ultrasound, computed tomography (CT), and magnetic resonance (MR) studies. The patient is referred for contrast-enhanced ultrasound with liver biopsy. In the documentation challenge, identify the proper codes to report for a patient with secondary malignant neoplasm of the bone, referred for CT-guided percutaneous paravertebral biopsy. The radiology test case in this issue highlights the performance of bone marrow blood supply evaluation with magnetic resonance imaging (MRI), for a patient with multiple myeloma. Dive deeper into these cases and challenge your coding skills with the Spring 2022 issue of Clinical Examples in Radiology.