Correct!
2. The radiograph appears normal

No specific abnormalities are present. The interstitium and lung volumes appear normal, and no mediastinal contour abnormalities are seen. No pulmonary cysts are evident.).

Clinical Course: The patient did not improve on therapy for asthma. He later developed joint aches and was referred to a rheumatologist, who added oral corticosteroids to his asthma inhaler regimen. An elevated C-reactive protein and erythrocyte sedimentation rate were noted, but C-ANCA, ANA, and ds-DNA antibodies were negative. The patient subsequently underwent thoracic CT (Figures 2-4) for further symptom investigation.

Figure 2: Inspiratory thoracic CT still images in an intermediate window (Click here for a movie of the CT scan)

Figure 3. Representative images from expiratory axial thoracic CT in lung window. (Click here for a movie of the CT scan)

Figure 4. Inspiratory coronal reformatted image in an intermediate window.

Regarding the thoracic CT findings, which of the following is most accurate?

  1. An anterior mediastinal mass is present
  2. Abnormal thickening of the anterolateral trachea is present
  3. Pleural thickening is present
  4. Subcutaneous gas and pneumomediastinum are present
  5. A mass arising from the chest wall is present

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