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SOUTHWEST JOURNAL of PULMONARY & CRITICAL CARE - Imaging - March 2013 Imaging Case of the Month
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Sunday
Mar 03 2013

March 2013 Imaging Case of the Month

Michael B. Gotway, MD*

Sudheer Penupolu, MD

Jasminder Mand, MD

 

*Department of Radiology, Mayo Clinic, Arizona

Fellow, Pulmonary Medicine, Mayo Clinic Arizona

Pulmonary and Critical Care Medicine, Maricopa Medical Center

 

Imaging Case of the Month CME Information

Members of the Arizona, New Mexico and Colorado Thoracic Societies are able to receive 0.25 AMA PRA Category 1 Credits™. Completion of an evaluation form is required to receive credit and a link is provided on the last panel of the activity.

0.25 AMA PRA Category 1 Credit(s)™

Estimated time to complete this activity: 0.25 hours

Lead Author(s): Michael B. Gotway, MD. The author(s)/contributor(s) state that they do not have any financial arrangements that could constitute a conflict of interest. Detailed Information

Learning Objectives:
As a result of this activity I will be better able to:

  1. Correctly interpret and identify clinical practices supported by the highest quality available evidence.
  2. Will be better able to establsh the optimal evaluation leading to a correct diagnosis for patients with pulmonary, critical care and sleep disorders.
  3. Will improve the translation of the most current clinical information into the delivery of high quality care for patients.
  4. Will integrate new treatment options in discussing available treatment alternatives for patients with pulmonary, critical care and sleep related disorders.

Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by case). Please also read the Technical Requirements.

CME Sponsor: University of Arizona College of Medicine at the Arizona Health Sciences Center Credit Designation and Accreditation Statements

Current Approval Period: January 7, 2013 - January 6, 2015

Original Release Date: March 3, 2013

Most Recent Review by Author: March 3, 2013

Most Recent Review by CME Sponsor: March 3, 2013

Financial Support Received: None

Clinical History: A 54-year old Hispanic woman with no significant past medical history presented with complaints of cough and worsening dyspnea. She was in her usual state of health until 4-5 weeks prior to presentation when she started noticing gradually worsening dyspnea on exertion. She reported a dry cough initially which subsequently became productive of whitish, mucoid sputum. The patient denied chest pain, sore throat, sick contacts, or recent travel history. A chest x-ray was performed (Figure 1).

Figure 1. Frontal (A) and lateral (B) chest radiography.

Which of the following statements regarding the chest radiograph is most accurate?

  1. The chest radiograph shows bilateral linear and reticular abnormalities
  2. The chest radiograph shows nodular interstitial thickening
  3. The chest radiograph shows multiple, bilateral circumscribed nodules
  4. The chest radiograph shows mediastinal and hilar lymph node enlargement
  5. The chest radiograph shows mediastinal widening

Reference as: Gotway MB, Penupolu S, Mand J. March 2013 imaging case of the month. Southwest J Pulm Crit Care. 2013;6(3):112-24. PDF

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