Concluded Case

22 yrs old female presented with dry cough dyspnea since last one month, not asso with fever. spo2 92%, HR 120/min. not possible further evaluation due to financial constraints. (adv HRCT thorax ) plz comment on cxray, and possible DDs. ( I shall update CT thorax if done)

(Edited)

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Concluded answer

Thanks everyone for your comments. CT thorax repot is updated. Scan films could not get available. Possibly lymphoma. Less likely germ cell tumor,thymoma.

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X -ray chest suggest large size hydatid cysts. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Multivitamins and antioxidants orally. Maintain nutrition hydration and hygiene. Regular monitoring and periodical evaluation required. Reassurance and councelling required.

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Thanks everyone for your comments. CT thorax repot is updated. Scan films could not get available. Possibly lymphoma. Less likely germ cell tumor,thymoma.

Well defined large mediastinal or pulmonary masses outpouching bilaterally... Differentials in a young patient would include congenital cysts like neuroenteric, lymphomas, thymoma, parasitic cysts The picture will be clearer with cect chest

Multiple pulmonary hydatid cysts. Adv- HRCT thorax.

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Most likely mediastinal growth may even be mediastinal hydatid cyst

Thanks sir, any other DDs in your mind?
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Most likely mass originating from chest wall . See 2nd, 3rd and 4th anterior ribs somewhat abnormal indicating huge mass originating from chest wall. Most likely Ewing sarcoma or Askin tumor. Advise CECT

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Mediastinal hydated cyst Need further evaluation Get HRCT

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It is huge mass urgent hrct with contrast pet scan at municipal centre Rajiv Gandhi or Pradhan mantri yojna is their where free facility of diagnosis

Huge cystic opacities bilateral r/o hydatid cyst

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PULMONARY HYDATID. CYSTS ADVISABLE... HRCT.... SCANNING.. THORAX

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