February 2017 pulmonary case of the month

No abstract available. Article truncated after 150 words. History of Present Illness: A 45-year-old man presented with weight loss, copious amounts of light green sputum, low grade fever and chest discomfort on the right. He had moved to Arizona 8 months ago. Two months later he developed hemoptysis and had increased cough with copious phlegm. He denied any fever, chills, malaise or fatigue. Past Medical History, Social History and Family History: He has a history of tuberculosis in 2010 treated with 4 drug therapy for a year. The tuberculosis was not drug resistant. He had been treated with a 6-month course of voriconazole about 2 years ago. Physical Examination: He was afebrile and his vital signs were unremarkable. He had decreased breath sounds in his right lower chest. Laboratory: His CBC, electrolytes and urinalysis were unremarkable. Chest Radiography: His admission chest x-ray is shown in Figure 1. In regards to the chest x-ray which of the following are