25 yr old male pt ,h/o cough frm 2 months bt chest pain in left side frm 2 days, pt havng ciggrette smoking habit.

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Fibrochachiatic lesions lt mid zone Rt hilar lymphadenopathy Prominent bronchovascular markings bilateral Long standing history of cough Chr bronchitis R/o pulmonary tuberculosis

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Trachea is central located. Diffuse fibronodulary lesion all over the central and lowerlung zones Cavitatory lesion mid zone left. Perihila adenopathy right. PTB SEQUELA CBNAAT, AFB, Genxpert. Start anti Tb immediately. RHZS 2 months RH for 4 months

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Bil hyperinflated lungs, COPD Right hilar adinitis Diffuse fibrobronchictatic right mid zone and base Diffuse fibrobronchiectatic infiltrations left midzone and upper zone . ? Localised pneumothorax left base Suggest HRCT , ,sputum AFB, and CBNATT

Right side hilar lymphadenopathy, B/L nodular infiltration d/d PTB, Allergic Bronchitis Ad CBNAAT Sputum exam & Spirometery

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Diffuse fibronodular infiltration both lungs Lt basal compensatory emphysema Rt paracardiac lymphnodes CBC, ESR, AEC, CRP, BSL, HIV Sputum for AFB/CBNAAT

PTB to be rule out.

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Bil diffuse parenchymal fibronodular opacities seen. Possibly Koch's with ILD.

Fibrocalcified opacity Sequele of pul Kochs Adv: CBNAAT

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MILIARY TUBERCULOSIS