b'PACEP SCIENTIFIC ASSEMBLY 2025 CPC HIGHLIGHTWhat is the Diagnosis?A special thank you to Alexandra Amaducci, DO for organizing this years CPC competition during the PACEP25 Scientific Assembly.Congratulations to this years second place winnersLuke Persin, DO from Geisinger Emergency Medicine Residency for submitting the case and being the resident presenter, and Alexander Yang, MD at Jefferson Einstein for being the attending discussant.68-year-old female presented to the ED with shortness ofCPC CASE breath. She reported feeling ill for one month. Patient reportedSTUDY increased cough and sputum production and multiple episodes of coughing up large segments of thick mucus covered in blood.THE CASENo known exposures. Past Medical History: Type 2 DM, hypertension,Skin: warm, pink, dry; no rashescirrhosis, hyperlipidemia, recurrent pneumoniaNeuro: speech is clear and appropriate, normal No known drug allergies consciousness. Gait and coordination are normal. 5/5 Social History: former light smoker strength in all extremities Vital Signs: HR 78 bpm, RR 16 breaths per minute,Psych: normal mood and affectSpO2 99%, BP 130/86 mmHg, Temp 99.8 deg FPertinent Labs: Physical Exam:CBC: slight leukocytosisGeneral: NAD, well developed, well nourishedCMP: WNLHEENT: normocephalic, atraumatic, no facial traumaRVP: negative Neck: suppleHeart: regular rate and rhythm, no edema Pertinent Imaging:Lungs: respiratory effort normal, speaks in full Chest xray: multifocal pneumoniasentences, no tripod position, no accessory muscle use,CT Chest: bilateral ground glass opacities and lungs CTA pulmonary edema Abdomen: soft, nontender, nondistendedWhat test will make the diagnosis?What is the final diagnosis?see conclusion on page 2320 PACEP News | Summer 2025'