HY USMLE Q #856 – Pulmonary

A 59-year-old man comes to the physician for a 6-month history of progressive shortness of breath and dry cough. He has no past medical history. He is a non-smoker. He drinks 2 beers nightly. Vitals are: temp 98.6 F, HR 72, RR 16, BP 120/80. Cardiopulmonary examination shows a loud P2 and diffuse dry inspiratory crackles. Pulmonary capillary wedge pressure is 9 mmHg (NR 4-12). Jugular venous pulsations are seen 3cm above the costal margin. Which of the following is most likely to be seen in this patient?

  BMPR2 mutation
  Cephalization of the pulmonary vessels on CXR
  Diminution of endothelin expression
  Fluid within fissure lines
  Reticulonodular pattern on CXR