30 yrs female with severe dyspnoea and cough. Diagnose

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Bilateral peribronchovascular micro nodules with cystic changes and areas of GGO. basal predominance. D/D: sarcoidosis (odd point: here upper lobe predominance) Chronic HP (again upper lobe disease) Lymphangitic carcinomatosis (odd point: cystic changes) Pneumoconiosis (history important) Lymphoid interstitial pneumonia (only diagnosis fits with the findings)

Agreeing sir.....it appears to be lymphoid interstitial pneumonia D/D acute interstitial pneumonia UIP ruled out no honeycombing sub pleural sparing@Dr. Parvathy Nair
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LYMPHOCYTIC INTERSTITIAL PNEUMONITIS IS THE RIGHT ANSWER.

It's a case of miliary tuberculosis.

Bronchial asthma with CHF

Miliary TB with cardiomegaly

ILD with traction bronchiectasis.investigate for autoimmune disorders

Young female with cystic lung disease could be ILD with traction bronchiectasis Lymphangioleiomyomatosis

UIP /idiopathic pulmonary fibrosis

Diffuse Cystic lung disease Lower lobe predominance LAM

Cardiomegaly with pulmonary oedema

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