24 yo male presents with worsening cough and breathlessness and a 3 day history of an itchy rash predominantly over his torso. Review his CXR below.

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Is the itchy rash transforming from papule to vesicular? The CXR showing patchy nodular mottling extensively, may be Varicella Pneumonia. DD: Milliary Tuberculosis.

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Acute onset of modular fluffy lesions with rash and short duration points towards acute sensitivity reaction to some strong and a virulent allergen may be poultry .industry fumes cotton or asbestosis silicosis.Pulmonoligists can explain better

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B/L diffuse reticulo nodular pattern of accute onset . Any h/o exposure to birds or pets ? Requires HRCT . After ruling out infective etiology including TB , hypersensitivity pneumonitis can be considered. In view of rashes evaluate for any connective tissue disorders related ILD .

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any vesicles or rash ; varicella pneumonia can be the possibility otherwise miliary tb

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Fluffy opacities both lungs. SLE.

SLE.
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Looks like milliary TB

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Milliary tuberculosis

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Should exclude Miliary tuberculosis. Adv. 1. HRCT chest 2. CBC 3. Sputum for AFB

Bilateral patchy ground glass opacities filling both lung fidlds .Heart & other parameters appear normal. Most probably Alveolitis due to allergic conditions. Adv.-Clinical & Pathological correlation for Covid-19 , Interstitial & Viral lung disease .

Military tuberculosis

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