Correct!
5. All of the above
The CT scan confirms the presence of multiple nodules (Figure 1).
Figure 1. Representative images from thoracic CT scan in lung windows showing multiple pulmonary nodules. Soft tissue windows (not shown) showed a few marginally enlarged mediastinal lymph nodes.
The fungal infections, coccidioidomycosis and histoplasmosis, are reasonable considerations. Both can produce nonspecific symptoms in many patients over several months’ duration. Histoplasmosis is common in the Midwest and Ohio River Valley (1). Coccidioidomycosis, Valley Fever, is common in the Southwest (2). The serologies for histoplasmosis and coccidioidomycosis are both drawn and sent to a reference laboratory.
Which of the following are indicated at this time? (Click on the correct answer to be directed to the fourth of eight pages)