April 2018 imaging case of the month

• Main Authors: Viggiano RW, Gotway MB
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2018-04-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: solitary pulmonary nodule; nodule; lung mass; CT scan; mycobacterium avium complex; mycobacterium; PET scan; diagnosis; needle biopsy; bronchoscopy
• Online Access: http://www.swjpcc.com/imaging/2018/4/5/april-2018-imaging-case-of-the-month.html

No abstract available. Article truncated after first page. Clinical History: A 65-year-old non-smoking man with a past medical history significant for hyperlipidemia, hypertension, coronary artery disease, and pacemaker placement, presented for a routine medical evaluation. The patient was allergic to penicillin, and his list of medications included aspirin, a diuretic, an ACE inhibitor, and a statin, in addition to over-the-counter vitamin supplements. Laboratory evaluation showed a normal complete blood count, electrolyte panel, and liver function tests. Frontal and chest radiography (Figure 1) was performed. Which of the following represents the most accurate assessment of the frontal chest imaging findings? 1. Chest frontal imaging shows a mediastinal mass 2. Chest frontal imaging shows bilateral peribronchial and mediastinal lymph node enlargement 3. Chest frontal imaging shows bilateral pleural fluid collections 4. Chest frontal imaging shows focal masses 5. Chest frontal imaging shows reduced lung volumes with basilar fibrotic changes …