Correct!
4. Scattered small lung nodules

There are numerous small lung nodules on the thoracic CT scan. “Crazy” paving is when the thoracic CT shows multifocal areas of ground-glass opacity (defined as areas of increased lung attenuation without obscuration of the underlying vessels and airway walls), associated with smooth interlobular septal thickening, with a sharp, non-anatomic demarcation between normal and abnormal lung (2).

What should be done next to diagnose her lung disease? (Click on the correct answer to move to the next panel)

  1. Needle biopsy of the lung
  2. Repeat bronchoscopy with transbronchial biopsy
  3. Serial thoracic CT scans
  4. Thoracic CT angiography
  5. Video-assisted thorascopic lung biopsy (VATS)

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