A 50 year old woman visits a general practitioner because of a feeling of breathlessness (dyspnoea), especially on climbing the stairs to her house


Question Number 1134
Question:
A 50 year old woman visits a general practitioner because of a feeling of breathlessness (dyspnoea), especially on climbing the stairs to her house. She has never smoked in her life. On examination, the physician finds a central cyanosis, and the following is a photo of her hands. On auscultation of her lungs, crepitations are heard bilaterally over the lower zones posteriorly,and there is increased tactile vocal fremitus.A chest X-ray is requested. The most likely finding on this Chest X-Ray is
a) consolidation
b) pneumothorax
c) pleural effusion
d) coin lesion
e) emphysema

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