Concluded Case

70 yrs male presented with cough dyspnea since last 2yrs with off and on fever and rt sided chest pain. h/o PTB in past. RV HBS AG NEG. ESR 60 BSL 90 SPO2 93% BP 140/90 Rt basal breath sounds reduced. plz comment on the case.

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Concluded answer
fever cough dyspnea anorexia persisted, pleural fluid examination sugg of Koch's, so AKT started.
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Right upper lobe Fibrocavitory disease Right lower consolidation with surrounding fibrosis Chronic right pleural effusion ..minimal left effusion Volume loss of right lung..likely progressing to fibrothorax Post tubercular sequelae most likely
B/L CP ANGLE OBLITRATE TRACHEA SHIFT RT SIDE RT UPPER LOBE FIBROBRONCIECTIC CHANGES SEEN ? CA LUNG WITH PTB ? PNEUMONIA WITH PTB USG /CT GUIDED PLEURAL FLUID TAPPING FLUID SEND HPE CA MARKER CORRELATED CLINICALLY FOR FURTHER MANAGEMENT
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Rt basal pleural effusion with fibrobronchetic changes Trachea shifted towards Rt Fibrobronchetic changes present in lt lung also Check for active PTB
RT pleural effusion for tapping for pleural fluid routine ada cell malignant cell gene expert culture & sensitivity of fluid
Bilateral pleural effusion. Pneumonitis left lower lung.
B/L pleural effusion Pneumonitis lt. Lower lung
Old healed lesion rt apex There is immense reticular fibrosis b/l Rt dome of diaphragm is straightened with loss of lung volume rt side one fibrotic band seen in hrct in rt lower zone pulling dome up with blunting of cp angle suggest thickened pleura Trachea is pulled to rt Lab reports are insignificant except raised esr I will treat her as copd
B / L.... PLEURAL. EFFUSION LT. LOWER. LUNG...... ............... PNEUMONITIS PROBABLY... KOCH'S. CHEST
Do culture of sputum and add specific antibiotics. Check (Lymphadenopathy) and (Dullness to percussion).
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