Correct!
2. The chest CT shows multifocal peripheral ground-glass opacity and faintly nodular opacities

The chest CT shows multifocal bilateral areas of ground-glass opacity, in some areas with a faintly centrilobular nodular appearance. No consolidation or pleural effusion is present. Note the small rim of relatively “spared” lung around the lobular areas of ground-glass opacity (arrowheads). There are no features to suggest fibrotic lung disease, such as reticulation, traction bronchiectasis, or honeycombing. While ground-glass opacity is present, it is not associated with interlobular septal thickening.

The patient’s fever and shortness of breath persisted despite broad spectrum antibiotic therapy.

Which of the following courses of action is the most appropriate next step for the management of this patient? (Click on the correct answer to be directed to the eighth of fourteen pages)

  1. Chest CT
  2. Echocardiography
  3. Surgical lung biopsy
  4. Upper endoscopy
  5. Urinalysis

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