Audio Qbank – Q274 – A 31F with shortness of breath

 

A 31-year-old woman undergoing chemotherapy for acute myelogenous leukemia presents to the physician for a 2-day history of shortness of breath and dry cough. Vitals are: temperature 102.1 F, RR 20, HR 80, BP 130/80. Physical examination shows a generalized vesicular rash. The patient’s chest x-ray is shown demonstrating extensive nodular infiltrates in both lung fields.

Which of the following is the most likely diagnosis?