CXR of a patient is shown. What is the next investigation to be done in the patient?
Ventilation perfusion scan
Bronchoalveolar lavage
Exploratory laparotomy
High resolution CT scan
Ans. (c) Exploratory laparotomy.Image shows Chest X-ray with central trachea and increased bronchovascular markings. The Right lung shows clear presence of gas under diaphragm and needs an exploratory laparotomy.
Imaging of Interstitial Lung Disease