Concluded Case

72 female ,chest pain,cough dyspnea,mild hemoptysis fever since last 2 weeks. routine lab reports are normal, ESR 55, wbc 11200,N 78. spo2 92% BP 150/80mmhg. HR 126/min. plz interpret CXR and discuss possible diagnosis.

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Concluded answer
Rotated film...Right scalloped diaphragm ..few right paracardiac infiltrates..right middle lobe syndrome is the likely the cause of haemptysis...narrowed/stenosed upper trachea also noted...
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Fibronodular rt paracardiac lower zone with fibrotic strands pulling trachea to rt with cardiomegaly and hyperinflated lung fields rt side lower zone haziness seems to be breast shadow . High esr with hemoptysis suggest pulmonary tuberculosis rt lower lobe with copd
Thanx dr Vedprakash Sharma
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Crowding of ribs- hyperinflation lung field -copd Trachea pulled towards right might go in favour that pt had past history of Koch's Now presenting as post Koch's sequalae Broncheictasis Right lower zone consolidation Most likely pneumonia Hemoptysis and raised esr might go in favour of Koch's Or rupture of some bullae Advise- sputum afb genexpert sputum r/m c/s Hrct chest
PLEURAL EFFUSION CARDIOMEGALY. PROBABLE.... 1. P T B 2. . INFECTIVE. PNEUMONIA ADVISABLE... 1. CT. SCANNING 2. PLEURAL. FLUID.... CULTURE 3. BLOOD CULTURE /. SENSITIVITY 4. AFB. STAINING
Hyperinflated lungs emphysema copd lungs Rt lower lobe pleural effusion and left side also. Fibrobronchetic changes present in both lungs, mediastinal widening Do Hrct chest for confirm Sputum afb
Rotated film...Right scalloped diaphragm ..few right paracardiac infiltrates..right middle lobe syndrome is the likely the cause of haemptysis...narrowed/stenosed upper trachea also noted...
Thank you doctor
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Massive consolidation left ll. Ltcp angle decreased, pleural effusion,Cardiomegaly? Rt.mid.l. nodular infiltration newly forming opacity suggesting acute infection of pneumonitis?Ptb?
Most commen csuse of hemoptysis is tuberculosis, Aids pneumonia lung cancer investigation sputum analysis treatment pneumoectomy
Thank you doctor
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Lt pleural effusion tapping must usg guided routine fluid ada cell malignant cell gene expert culture& sensitivity of fluid
? PTB ?? Plural effusion
Thanks Dr Dinesh Gupta.
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Plural effusion case..
Thank you doctor
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