29yr / F, came with c/o chronic cough, SOB, occasional expectoration since last three months. She was having 'wheeze' and SOB since last 5 -6 yrs, on treatment from different centre across India. Her CXR of 2014 and 2018 are enclosed. Please interpret and comment on management.

2 Likes

LikeAnswersShare

Case of bronchial asthma with ABPA. Central bronchiectasis is seen.

Thanks
0

2014 Cxr is normal. 2018 Cxr shows multiple fibrotic lesion bilaterally. Diagnosis is interstitial pulmonary fibrosis. Suggested CT scab of chest and to be managed with oral steroids and inhaled steroids

Thanks. CECT is now posted.
0

agree with dr shivraj agrawal.

Sir the uncontrolled and unethical use of oral or systemic steroids might has masked the fever

May be, yes. Thanks
0

2014 cxr is normal Probably screened for a missed bronchial asthma Now she has pul kochs unless proven otherwise

Thanks
0

2014 is WNL.in 2018 x-ray is patchy infiltration all over both lungs . Require Spirometry, CBC ESR, CT Chest for diagnosis. May be COPD, Pulm. T B. Pneumoconiosis, viral pneumonia.

Thanks
0

1. NAD 2. B/l patchy infiltration S/o Pulmonary fibrosis However r/o malignancy/secondaries

Thanks
0

Agree with Dr Shivraj Agrawal

Thanx dr Manoj Kumar jain
0

Sir it looks that she has been a c/o chr asthmatic bronchitis/copd ash/ o wheeze is there for 5to6 yrs it seems she has been over treated by steroids x ray chest 2014 is clear but 2018 shows lung fibrosis bilateral sos pul tb but since no h/o fever or hemoptysis more likely to be lung fibrosis

Thanks
0

View 1 other reply

Rx... Malathi, Kahzuban., gavtheer... Supistan... Unab... Boil these herbs in water. Take a glass of it 3 times a day. Inshallah will get fine with in days...

Load more answers