Correct!
2. Head CT Scan
Clearly something is wrong. The presence of nuchal rigidity, ptosis, leg weakness and history of fecal and urinary incontinence in an athletic young woman all suggest a potentially serious neurological problem. It is unclear how a cerebral angiogram, nerve conduction studies or a liver ultrasound would be helpful.
CT of the head showed questionable grey-white matter hyperdensities otherwise it was normal. Another important test to rule out a spinal cord lesion is an MRI of the spine. Hers was normal.
CT chest of the chest (representative image - Figure1) showed multiple small focal areas of consolidation.
Figure 1. Representative image from the chest CT scan.
Which of the following is indicated at this time?