Owen Grady presents to the pulmonary clinic with pinpoint no…

Owen Grady presents to the pulmonary clinic with pinpoint nodules throughout the lungs. He has a non productive cough, distended jugular vein, and digital clubbing. Mr. Grady lives with his wife on Smith Lake. He is a retired explosive engineer for the local mining quarry. His wife is still working as the companies secretary. They have 3 grown children with 6 grandkids. He admitts to casual drinking and No smoking or drug use. Which of the following is the most likely diagnosis?

Claire Dearing and her husband farm hay and sugarcane on the…

Claire Dearing and her husband farm hay and sugarcane on their 100 acre farm. They have 2 teenage children that live at home. They have multiple pets inside and outside the home. Claire presents to the ED with increased HR, RR, decreased SpO2, crackles, non productive cough, digital clubbing and an enlarged liver. She denies the use of tobacco, drugs or alcohol. Which of the following is the best diagnosis?