Correct!
5. Thoracic CT shows pleural effusion and pericardial effusions or thickening

The enhanced thoracic CT shows well-enhanced pulmonary arteries bilaterally- no evidence of pulmonary emboli is seen. The visualized mediastinal tissues appear normal- no evidence of abnormal infiltration or lymphadenopathy is seen. The thoracic aorta is normal in caliber. The osseous thoracic structures show no evidence of lytic or destructive processes. Small symmetric pleural effusions are evident (*), and the pericardium appears abnormal (arrows), representing either pericardial effusion or thickening, or a combination thereof.

Which of the following represents the next most appropriate step for the evaluation of this patient? (Click on the correct answer to proceed to the fourth of five panels)

  1. 18FDG-PET scanning
  2. 68Ga scanning
  3. Catheter pulmonary angiography
  4. Repeat chest radiography
  5. Transthoracic echocardiography

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