Correct!
Answer: 1. True. A calcified left mediastinal lymph node is present.

Previous chest radiographs from 2001 (Figure 2), 10 years prior to Figure 1, were obtained for comparison.

Figure 2: Frontal (A) and lateral (B) chest radiography from 2001, 10 years prior to Figure 1, shows that the median sternotomy has been performed in the interim.

Which of the following statements is correct regarding the findings on these images?

  1. Aside from the median sternotomy noted on the recent chest radiograph (Figure 1), the current chest radiograph (Figure 1) is unchanged from the prior chest radiograph in 2001 (Figure 2)
  2. The comparison to the 2001 chest radiograph allows the conclusion that there is no radiographic evidence of new granulomatous inflammation
  3. The lack of clear change in the appearance of the biapical opacities strongly suggests a non-malignant process
  4. All of the above