Correct!
5. All of the above

The patient is an immunocompromised host. Despite the admission radiograph being fairly unremarkable, a high index of suspicion for an occult pneumonia must be maintained because of her immune status. A sputum culture was negative, a cocci serology was negative, but a respiratory pathogen panel was positive for respiratory syncytial virus (RSV). Her thoracic CT scan is shown in Figure 2.

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Figure 2. Representative images from the thoracic CT scan in lung windows (Panels A-C) and soft tissue windows (Panels D-F). Bottom left: movie of selected lung windows. Bottom right: movie of selected soft tissue windows.

What abnormality (ities) are seen in the thoracic CT scan? (click on the correct answer to proceed to the third of four panels)

  1. Diffuse mediastinal lymphadenopathy
  2. Multiple calcified hilar lymph nodes
  3. Right middle lobe consolidation
  4. 1 and 3
  5. All of the above

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