Correct!
5. The comparison chest radiograph shows the same linear right lower lobe opacity suggesting scarring and is unchanged from the presentation chest radiograph

The frontal chest radiograph performed three years earlier (Figure 2A) shows the same linear right lower lobe opacity associated with architectural distortion and volume loss visible on the presentation chest radiograph (Figure 2B). The right hilum also again appears prominent. No consolidation or pneumothorax is present.

The patient underwent pulmonary function testing which showed mild restriction and decreased diffusion capacity for carbon monoxide, and these findings seemed disproportionately mild compared to her shortness of breath and dyspnea on exertion.

Which of the following represents the most appropriate next step for the managementof this patient? (Click on the correct answer to proceed to the fourth of nine pages)

  1. 133Xe-ventilation – 99mTc-perfusion scintigraphy
  2. 68Ga-citrate scintigraphy
  3. Catheter pulmonary angiography
  4. High-resolution CT
  5. Thoracic MRA

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