Correct!
5. Chest frontal imaging shows patchy nodular opacities in the right lung
The frontal chest imaging shows faintly nodular opacity primarily in the peripheral right lung (Figure 3).
Figure 3. Frontal chest imaging shows poorly defined nodular opacity (arrows) primarily in the peripheral right mid and lower lung.
The lung volumes are normal and no clear abnormalities are seen in the left lung. No pleural abnormality is evident. There is no clear evidence of peribronchial or mediastinal lymph node enlargement.
The patient was treated in the emergency room with broad-spectrum antibiotics and prednisone, with equivocal improvement. While she initially felt better, she re-presented to the emergency room several weeks later with similar complaints, and was again treated with a different class of broad-spectrum antibiotics.
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 seven pages)