Q. A 39-year-old caucasian female presents to your clinic and describes a 3-week history of lethargy, cough, bilateral knee pain, and photosensitivity. Her primary complaint is loss of appetite and “just not feeling right”. She does not smoke or drink alcohol, denies any known exposure history or recent travel, and has no history of similar symptoms. On physical examination, she is in no acute distress. Her temperature is 38.1 degrees Celsius (100.6 degrees Fahrenheit), heart rate is 72/min, respiratory rate 15/min, and blood pressure 128/70 mm Hg. Head and neck examination demonstrates pupils that are equal and reactive to light with moderate photosensitivity noted. An erythematous, maculopapular rash is observed on her left mandible (see photo) with associated mild lymphadenopathy. Brudzinski's sign is negative, and her cranial nerves are intact with the exception of a Snellen test score of 20/40 bilaterally. Cardiac examination shows regular rate and rhythm with no murmurs, rubs, or gallops. A fine, high-pitched crackling is observed on inspiration. Otherwise, her lung examination is unremarkable. Tender, erythematous nodules with associated darkened skin are noted on the anterior surface of her right tibia. Based on these findings, what would you expect to see on a chest x-ray?