1) A 76-year-old previously healthy woman reports a 6-month history of cough
and low-grade fevers, a 7-kg weight loss, and increasing shortness of breath.
Her cough produces thick white sputum. She has never used tobacco. On
examination, she appears thin but is in no distress. Her vital signs are
normal. On pulmonary auscultation, there are crackles in the right middle and
lower lobes. A chest radiograph reveals bronchiectasis and nodularity in the
right middle lobe. Which one of the following findings is most likely to be
seen on sputum culture from this patient? *
