May 2013 Imaging Case of the Month

Michael B. Gotway, MD

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

Clinical History

A 21-year-old woman presented with complaints of cough. Frontal and lateral chest radiography (Figures 1A & B) was performed. A detail comparison chest radiograph from several years prior (Figure 1C) is presented as well.

 

Figure 1. Frontal (A) and lateral (B) chest radiography at presentation and a radiograph from several years earlier (C).

Which of the following statements regarding the chest radiograph is most accurate?

1. The chest radiograph predominantly shows bilateral linear and reticular abnormalities
2. The chest radiograph shows a combination of nodules, masses and thin-walled cysts
3. The chest radiograph shows multifocal consolidation with air bronchograms
4. The chest radiograph shows multifocal pleural abnormalities
5. The chest radiograph shows mediastinal widening & hilar lymphadenopathy

Reference as: Gotway MB. May 2013 imaging case of the month. Southwest J Pulm Crit Care.2013;6(5):218-30. PDF