Correct!

4. 1 & 3

 

The repeat chest x-ray shows that much of the consolidation has cleared except in the right upper lung where increased density persists (Figure 3).

Figure 3. Repeat portable chest x-ray showing a rounded density in the right upper lung (red circle) with a question of cavitation.

 

Bronchoscopy revealed blood coming from the right upper lobe. A thoracic CT was performed with the most relevant image shown in Figure 4.

Figure 4. Representative image from the thoracic CT scan.

 

What is the most likely cause of her hemoptysis? (Click on the correct answer to proceed to the next panel)

  1. Aspergilloma
  2. Drug-resistant influenza A
  3. Lung cancer
  4. Necrotizing Pseudomonas pneumonia
  5. Staphylococcal pneumonia after influenza

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