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Subjects/Radiology/Consolidation
Consolidation
medium
scan Radiology

A patient undergoes a CT scan for persistent cough and fever. The scan shows an area of increased lung attenuation with preservation of lung volume, air bronchograms, and ill-defined margins. Which of the following statements regarding this finding is most accurate?

A. A. It represents interstitial lung disease.
B. B. It is consistent with alveolar consolidation.
C. C. It indicates significant lung volume loss.
D. D. It is typically seen in pulmonary embolism.

Explanation

The description of increased lung attenuation (opacity), preservation of lung volume, and air bronchograms are classic CT features of alveolar consolidation. Interstitial lung disease typically shows reticular or nodular patterns, honeycombing, or ground-glass opacities, often with volume loss. Significant lung volume loss is characteristic of atelectasis. Pulmonary embolism can cause various findings, including wedge-shaped peripheral opacities (Hampton's hump) or normal findings, but not typically diffuse consolidation with preserved volume and air bronchograms.

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