Correct!
2. The chest CT shows multifocal peripheral ground-glass opacities and consolidation

The chest CT shows multifocal areas of ground-glass opacity and consolidation in the biapical, medial right upper lobe, and right lower lobe subpleural and ground-glass opacity and consolidation (arrows). A small focus of low attenuation (arrowhead) is present in the subpleural right lower lobe consolidation. Mild right peribronchial and mediastinal lymph node enlargement is present. No features of fibrosis- such as traction bronchiectasis, intralobular lines, architectural distortion, and honeycombing- are evident. No evidence of cavitary lung nodules is seen. While some ground-glass opacity is present, it is unassociated with interlobular septal thickening.

A repeat complete blood count was performed which again showed a white blood cell count within the normal range, but mild eosinophilia-0.75 x 109 / L (normal, 0.03 – 0.48 x 109 / L) was again noted.

Which of the following represents the most likely diagnosis this patient? (Click on the correct answer to be directed to the fifth of twelve pages)

  1. Acute coccioidomycosis infection
  2. Aspiration pneumonia
  3. Bacterial pneumonia
  4. Bronchogenic malignancy
  5. Usual interstitial pneumonia / idiopathic pulmonary fibrosis

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