Correct!
1. Initiate infliximab therapy
Treatment with infliximab may be beneficial for the patient’s active inflammation for ulcerative colitis, which should prove superior compared to corticosteroid therapy alone. There is a question of failure on previous adalimumab therapy, making this choice of therapy less appealing. 18FDG-PET scan again could be of benefit to determine if there are other sites of potential involvement by a second process given the suggestion of such at the interpretation of the abdominal CT, but it is unclear if 18FDG-PET would provide management-altering data at this point. Enteroclysis is a technique whereby a nasogastric tube is placed into the proximal small bowel and a solution is pumped into the small bowel to distend small bowel and allow visualization of the small bowel mucosa to assess for inflammatory disease. This study has now largely been abandoned in favor of either CT or MR enterography.
Antifungal therapy with liposomal amphotericin B was empirically started. Infliximab therapy was planned, and as part of this new therapy, Infectious Disease was consulted. The patient was referred for chest radiography (Figure 3).
Figure 3. Frontal chest radiography.
Which of the following statements regarding the chest radiograph is most accurate? (Click on correct answer to be directed to the fifth of ten pages)