December 2013 Imaging Case of the Month

Michael B. Gotway, MD

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History

A 30-year-old man complained of intermittent shortness of breath and recurrent respiratory tract infections. Frontal chest radiography (Figure 1) was performed.

Figure 1. Frontal chest radiograph.

Which of the following statements regarding the chest radiograph is most accurate?

1. The chest radiograph mediastinal lymphadenopathy
2. The chest radiograph shows basal predominant linear opacities suggesting fibrosis
3. The chest radiograph shows large lung volumes with faint, thin-walled cystic lesions bilaterally
4. The chest radiograph shows multifocal ground-glass opacity and consolidation associated with linear and reticular abnormalities
5. The chest radiograph shows multiple nodules

Reference as: Gotway MB. December 2013 imaging case of the month. Southwest J Pulm Crit Care. 2013;7(6):339-47. doi: http://dx.doi.org/10.13175/swjpcc172-13 PDF