29M C/o cough with copious blood tinged sputum since 1 week. Old TB 3yr back. Dx the CXR

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Destroyed lung left.. With markedly shifting of cardiac shadow same side. Diaphragm is also pulled up. There is high possibility of post tubercular bronchiectasis with secondary infection leading to copious blood tinged sputum.. CT SCAN of thorax will give you a final answer

sir sputum Afb negative.. what could be the diagnosis??
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As this pt is a case of old TB having Lt. destroyed lung needs evaluation for reactivation of TB .Do CBNAAT . and give symptomatic treatment as haemoptysis can occur in sequel's of TB also or rule out reactivation of TB.

To add send sputum for AFB smear and bactec culture and gene Xpert..To rule out any reactivation of tb

CXR..reveals fibrosis as well as cosolidation of whole left lung. Sputum afb negative but CXR suggest TB so start Amoxycillin for 7 days if symptoms resolves or condition improves pneumonia is likely otherwise start AKT CAT2 as Relapse case of smear negative TB. Also rule out HIV as Smear negative TB common in HIV pts.

If sputum is negative.. With x-ray only.. No help of Ct diagnosis rest between Post tubercular bronchiectasis or lung abcess

consolidation of left lung with reactivation of tuberculosis. need 10 days antibiotics treatment with haemostatic drugs.then reinvestigate for tuberculosis and treat.

Rasmussen aneurysm bleeding or eroding into pulmonary artery. .? lt upper lobe cavity also

agree
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as the past hx of tb,might not.have taken tt regularly in proper dose otherwise so massive destruction of lung cannot b possible r/o dm and hiv

He took 6month ATT regularly.. No complaints for last 3years..
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cxr S/o destroyed Lt.lung with compensatory emphysema on Rt. As sputum for afb is neg, need HRCT chest for confirmation of any consolidation or Fibrosis. send sputum for c/s. need antibiotics

cont....need antibiotics,chest physio... to prevent recurrent or massive hemoptysis pneumonectomy is to be done
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Opaque left hemithorax s/o collapse consolidation left lung cause?

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