Correct!
5. All of the above
It is certainly sensible to obtain chest CT to evaluate the chest radiographic findings further, particularly given that the evaluation of the working diagnosis- aspiration- is thus far unconvincing. A neurology consult is reasonable, given that the right calf atrophy raises the possibility of an underlying neuromuscular disorder. Given the patient’s age and as yet unexplained substernal chest discomfort and dyspnea with exertion, testing for physiologically significant coronary artery disease is also reasonable.
The patient underwent chest CT (Figure 3) to evaluate the abnormal findings seen at chest radiography.
Figure 3. A-I: Axial unenhanced chest CT through the upper (A and B), mid (C and D), and lower (E-I) lungs in lung windows. Right: video of chest CT in lung windows.
Which of the following statements regarding the chest radiograph is most accurate? (Click on the correct answer to be directed to the fifth of nine pages)