25 yrs male hydropneumothorax left side icd done and ATT completed two months back This is the latest xray Complaints of cough for the past one week Expert opinion please doctors about the management

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Koch's with plural effusion

Copd Ild Rtidzone consolidation Lt apical calcified foci Hrct pneumonitis Sarscov2 Rtpcr Cbc ddimer cbnat Gene expert ultra Old Koch's with covid

CXR STUDY .. LEFT SIDE .. UPPER .. FIBROCAVITARY LESION .. ? PTB .. ? RECURRENT TB ..

akt drugand ,plha hiv drud.

akt 6month tlddrug icd4 less
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anti tuberclus drug.

Ptb?? Fibrosis with infiltration note on cxr study and Cbnaat and sputum for AFB Hrct the thorax for batter evaluation Bronchodilators Iv Steroid Anti pyretic Anti biotic start and and send sputum cs Mucolytic drugs Blood ix CBC ESR CRP s creatinine urine Rm

Fibrocavitary lesion left upper lung. PTB.

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Exclude recurrent tuberculosis Sputum AFB and CBNAAT fibrosis with calcification on chest x ray Start ICS+LABA, Bronchodilator...

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CXR Old Calcification seen B/L Little Infiltration seen Recurrent TB ? Covid 19 ? Adv :- CBC , ESR , CRP , AFB , CBNAAT & RTPCR.

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Cbnat Gene expert Copd Consolidation Lt midzone Rt mid& lower chest Opinion of chest specialist Bilateral l Koch's

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