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3720 Radiology

A 68-year-old female smoker is admitted with progressive weakness, weight loss, and dysphagia. Physical exam: pulse 110 bpm; temperature normal; respirations 18/min; blood pressure 110/60 mm Hg. The patient appears cachectic on general exam. Laboratory data: Hb 9 g/dL; Hct 27%; BUN 13 mg/dL; creatinine 0.4 mg/dL; sodium 124 mEq/L; potassium 3.8 mEq/L. Chest x-rays are shown . An associated symptom that may signal mediastinal involvement and inoperability is

ACough
BClubbing
CSteady boring chest pain
DDiaphoresis
Radiology
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3722 Radiology

40 year old male farmer who has livestock was admitted with paroxysms of cough and expectoration. Clinical examination was normal. Chest X-ray showed a large thin walled cavity containing membranes in the lower lobe of the left lung with left pleural effusion. CT scan of the chest revealed a ‘water lily’ sign. What is the most probable diagnosis?

AEchinococcus infection
BAspergillosis
CInterstitial lung disease with TB
DAmebic lung abscess
Radiology
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