Correct!
2. Chest radiography shows bilateral lower lobe bronchial wall thickening and patchy consolidation
Chest radiography shows patchy, bilateral bibasilar consolidation and bronchovascular thickening, but without evidence of peribronchial or mediastinal lymph node enlargement, other nodules, or pleural disease. No miliary nodules are evident.
The patient underwent CT of the abdomen and pelvis (Figure 2), evidently searching for a source for his complaints in the context of some abdominal tenderness as well.
Figure 2. Representative images from lung base images from CT of the abdomen shows bilateral lower lobe consolidation consistent with bronchopneumonia. This study was negative for any intra-abdominal process.
This study showed findings consistent with bibasilar bronchopneumonia. The patient was administered intravenous levofloxacin and admitted to the hospital, and then switched to ceftriaxone and azithromycin. The patient improved and his was discharged a few days later on oral antibiotics. Thoracic CT (Figure 3) was performed 12 days later.
Figure 3. Upper panels: representative images from the axial unenhanced thoracic CT performed 12 days following the abdominal CT (Figure 2) shows bilateral lower lobe nodular-appearing consolidation which is improved from the abdominal CT. Lower panel: video of thoracic portaion of the CT scan.
Which of the following represents the most accurate assessment of the thoracic CT findings? (Click on the correct answer to proceed to the third of nineteen pages)