Correct!
2. Chest radiography shows left lower lobe consolidation

The chest radiograph shows normal hilar and mediastinal contours- no lymphadenopathy is evident. There is no basal reticulation to suggest fibrotic lung disease, and the lung volumes appear normal. No discrete nodules are present. There is focal left basal opacity, best seen on the lateral chest radiograph, consistent with left lobe consolidation associated with some volume loss (Figure 2).

Figure 2. Frontal (A) and lateral (B) chest radiography shows left lower lobe consolidation (arrows).

The patient was not febrile.

Which of the following represents the most appropriate management step for the evaluation of this patient? (Click on the correct answer to proceed to the third of eleven pages)

  1. Check titers for possible fungal infection, treat presumptively with broad-spectrum antibiotics for presumed pneumonia
  2. Obtain 18FDG-PET scan
  3. Obtain abdominal CT
  4. Obtain surgical lung biopsy
  5. Perform pleuroscopy

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