Question 2203
{"accessible":true,"alternatives":[{"id":10924,"text":"metastatic disease"},{"id":10927,"text":"miliary tuberculosis"},{"id":10925,"text":"sarcoidosis"},{"id":10926,"text":"silicosis"}],"archived":false,"correctAlternativeId":10927,"explanation":"\u003cp\u003eAll four of the provided options could result in the presence of multiple small nodules, but the patient's age and the acute onset of disease are most compatible with miliary tuberculosis. In miliary tuberculosis, the infection reaches the lungs hematogenously and the nodules are diffusely distributed.\u003c/p\u003e","id":2203,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/428/miliary-tuberculosis-5_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":20025},"imageAttributionCaseInfo":{"title":"Miliary tuberculosis","contributor_name":"Mark Holland","contributor_param":"hollandmjuk","case_rid":20025,"case_param":"miliary-tuberculosis-5"},"firstQuestionPath":"/questions/2205","nextQuestionPath":"/articles/pulmonary-metastases/questions/1687","relatedArticles":[{"id":20955,"title":"Miliary tuberculosis","link":"/articles/miliary-tuberculosis?lang=us"},{"id":8631,"title":"Tuberculosis (pulmonary manifestations)","link":"/articles/tuberculosis-pulmonary-manifestations-1?lang=us"},{"id":52026,"title":"Miliary sarcoidosis","link":"/articles/miliary-sarcoidosis?lang=us"},{"id":1679,"title":"Miliary opacities (lungs)","link":"/articles/miliary-opacities-lungs?lang=us"}],"alsoUsedIn":[{"id":1026,"kind":"Course","title":"Chest X-ray: Graphic Novel - page 1026","link":"https://radiopaedia.org/courses/chest-xray-graphic-novel/pages/1026"}],"stem":"\u003cp\u003eA 20-year-old man\u0026nbsp;presents with fever, night sweats and hemoptysis. Based on the history and the chest x-ray what is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2203"}],"attemptsPercentages":[{"alternativeId":"10925","percentage":6},{"alternativeId":"10927","percentage":89},{"alternativeId":"10926","percentage":2},{"alternativeId":"10924","percentage":3}],"promptToLogin":false,"questionManager":false,"articleId":"pulmonary-metastases"}