Review Question - QID 210882

A 56-year-old man presents to the emergency department with a productive cough and chest pain. He describes his chest pain as sharp and worsening with deep inspiration. Approximately 3 weeks ago he experienced an unprovoked generalized tonic-clonic seizure that self-resolved, for which he did not seek medical care. A week after the seizure event he experienced a subjective fever, shortness of breath, and a productive cough. He also reports malaise for several days. Medical history includes hypertension and type 2 diabetes treated with lisinopril and metformin. He has smoked 1 pack of cigarettes per day for 20 years. He is in a monogamous relationship with his wife and is currently sexually active without the use of barrier protection. He last traveled to Thailand 2 years ago. His temperature is 102°F (38.9°C), blood pressure is 154/95 mmHg, pulse is 102/min, and respirations are 21/min. On physical exam, there are decreased breath sounds and dullness to percussion in the left lower chest. A chest radiograph is shown in Figure A. Which of the following is the most appropriate treatment choice for this patient?