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A 32-year-old woman with a history of menorrhagia and seizure disorder since childhood is referred for an opinion regarding progressive dyspnea and cough over the course of 2 years. She is a current smoker who reports a 10 pack-year tobacco history but denies illicit drug use. Results of a physical examination are normal. Other than isolated reduction in the single-breath diffusing capacity, pulmonary function testing does not show any abnormality. A chest CT scan is performed and a representative image is shown (Figure 57-A). After an extensive nondiagnostic evaluation, you recommend a surgical lung biopsy. Results are shown in Figure 57-B.
Which is the treatment for the most likely diagnosis?
Figure 57-A Chest CT scan.
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