28 y male c/o dry cough dyspnea on bronchodilators since a year.(with base line spo2 90-93%) presented with productive cough fever increased dyspnea since 3 days .spo2 -74 %. wbc 12000.other lab reports are normal. plz interpret Cxray and approach to the case.

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Agreed with dr Rishabh Goyal that his congenital deformity is cause for restrictive lung disease. Earlier he has dry cough which has gone wet and productive one and hrct shows lt basal pneumonitis with Lecucoctysis it is is evident that infection is cause for productive cough. There is lot of interstitial fibrosis bilateral with reduced lung volume his baseline sp02 has gone down from 90to93 % to 74% so he needs external help by bipep or ventilator yes cardiac evaluationie ecg and 2decho will be helpful broadspectrumantibiotics should be use to combet infection.

Thanx dr Ashok Leel
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Restrictive lung disease due to congenital deformity and which can be the cause of breathlessness and cough . But at present it is overadded cardiac failure which is the cause of falling of the saturation and also evident by cect thorax which show septal thickening. Sir go for ecg and echo of the patient

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Lt apical zone collapse with volume loss. Septal thicking. Left basal pneumonitis. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Bs antibiotics IV BD. Multi vitamins and antioxidants orally. Good neutritious diet.

Thanks Dr Sandeep Ghodekar.
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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congenital skeletal deformity of severe kyphoscoliosis; now has left lower zone pneumonitis; as prone for secondary infection; need good chest physiotherapy and bronchial hygiene

Left apical zone collapse with volume loss... with left basal pneumonitis. Bilateral basal bronchiectatic changes.

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kyphoscoliosis,restrictive lung disease Left apical collapse,Left basal pneumonitis

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Kyphosis and scoliosis which will lead to restrictive lung disease with corpulmonale

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Loculated pnematocele and shrivelled fibrotic left Apex with droop ..COPD .. needle pnematocele

Kyphoscoliosis with restrictive lung disease, core pulmonale With left lower lobe pneumonitis with

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