Confirm your suspected diagnosis

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Question: A 42-year-old woman complains of episodic dyspnea over the past year. She has no underlying illnesses, and she has never been a smoker. She is a lawyer and denies exposure to dusts or fumes. She has had two pet birds at home for the past 18 months. On examination, she appears well. Vital signs are normal, except for an O2 saturation of 91% by pulse oximetry. Chest examination reveals scattered crackles in both lung fields but no wheezing. Get Instant Answers to this problem!

There is no digital clubbing. Chest radiograph reveals several scattered areas of increased markings. You are suspicious of hypersensitivity pneumonitis from exposure to her birds.

As you pursue diagnostic evaluation, which of the following findings is likely to confirm your suspected diagnosis? Lung biopsy showing well-formed granulomas Positive precipitating antibodies to bird proteins Presence of increased eosinophils in peripheral blood Chest computed tomography (CT) scan with interstitial changes accompanied by intrathoracic lymphadenopathy Positive precipitating antibodies to thermophilic actinomycetes

Reference no: EM133827787

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