5. All of the above

The value of annual physical exams and blood tests has been questioned by the Choosing Wisely campaign (1). In asymptomatic individuals, annual physical examinations and routine blood tests appear to do little good and false positives often lead to additional unnecessary evaluations and/or laboratory tests. However, our patient is not asymptomatic although the complaints of fatigue and shortness of breath are nonspecific. All the blood tests were performed and were normal. A chest x-ray was also performed (Figure 1).

Figure 1. Initial PA chest radiograph.

Which of the following is/are the best interpretation(s) of the chest radiograph? (Click on the correct answer to be directed to the thirdof seven pages)

  1. Hyperinflation
  2. Multiple pulmonary opacities
  3. Normal
  4. 1 and 3
  5. All of the above