Correct!
5. Thoracic CTA shows recurrence of bilateral lower lobe pneumonia

Thoracic CTA shows no evidence of pulmonary embolism. No new upper lobe consolidation or disseminated nodules are seen, but left-greater-than-right bilateral lower lobe bronchovascular thickening and patchy consolidation is now present.).

The patient was treated again with levofloxacin and seen by community internal medicine 8 days later. The patient claimed no improvement in his symptoms, although his physician thought he had improved and there were no signs of infection currently. There was a thought that the patient “was not doing well” on his asthma therapy, and his inhalers (fluticasone and ipratropium bromide) were increased. Repeat frontal and lateral chest radiography (Figure 8) was performed.

Figure 8. Frontal and lateral chest radiography at Emergency Room presentation (A and B) and 8 days later following levofloxacin therapy (C and D).

Which of the following represents the most accurate assessment of the chest radiographic findings? (Click on the correct answer to proceed to the seventh of nineteen pages)

1. Frontal and lateral chest radiography shows clearing of the bibasilar opacities
2. Frontal and lateral chest radiography shows developing pleural disease
3. Frontal and lateral chest radiography shows new peribronchial and mediastinal lymph node enlargement
4. Frontal and lateral chest radiography shows no interval change from the Emergency Room presentation chest radiograph (Figure 6)
5. Frontal and lateral chest radiography shows worsening multifocal consolidation bilaterally

Home/Imaging