5. All of the above

There are diffuse, patchy areas of lung consolidation. A ring is present which is in the area of the heart that would be anticipated with a mitral valve replacement. An aortic valve would be anticipated to be superior and to the patient’s right of the mitral valve. There are wires characteristic of a previous median sternotomy present.

A thoracic CT scan was performed (Figure 2).

Figure 2. Representative images in lung windows from the thoracic CT scan.

Which of the following should be done next? (Click on the correct answer to proceed to the third of four pages)
  1. Bronchoscopy
  2. Video-assisted thorascopic surgery (VATS)
  3. Cardiac ultrasound
  4. 1 and 3
  5. All of the above