Concluded Case

is it reinfection of TB

35/f old Rx pul kochs 6 yrs back c/o sudden onset breathlessness and chest pain.no h/o cough ,fever,hemoptysis.her routine exams are WNL.her HRCT chest is attached kindly comment on diagnosis and treatment.her sputum for AFB CBNAAT came negative.

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Concluded answer

Bil ground glass haziness seen. Bil basal large pneumatoceles seen Septal thickening and emphysematus bullae seen. Possibly Koch's sequelae with COPD emphysema. Adv evaluation for active Infective etiology. ICS LABA LAMA combination. Antibiotics mucolytics steam inhalation chest physiotherapy oxygen support if required.

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Bil ground glass haziness seen. Bil basal large pneumatoceles seen Septal thickening and emphysematus bullae seen. Possibly Koch's sequelae with COPD emphysema. Adv evaluation for active Infective etiology. ICS LABA LAMA combination. Antibiotics mucolytics steam inhalation chest physiotherapy oxygen support if required.

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CT scan shoes large cavitatory lesion in right lower lobe Multiple small cavitatory lesions in left lower lobe Groud glass appearance of lung There appears to be a dense consolidation in left upper lobe Dense consolidation area seen in left upper lobe can be caused by reactivation of pulmonary tuberculosis Ground glass appearance of lungs can be an indication of viral infection

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BL .. GGO .. SEPTAL THICKENING.. ? KOCH'S.. SEQUELAE WITH.. COPD EMPHYSEMA.. NEED'S.. CLINICOPATHOLOGICAL EVALUATION WITH EXPERTS OPINION..

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Copd Definitely cavitatory lesion lt mid zone Bilateral pneumonitis basal Tree in bud R/0 mdr tb Sarscov2 RT pcr

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B/L ground glass appearance Septal thickning PTB Sequelae Copd Emphysema Further evaluation is required for diagnosis and treatment

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Cavernous destruction of both lower lobes. Or billion transformation of both lower lobes.

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Correction bulbous instead ofbilion

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Diseases Related to Discussion

Copd
Tuberculosis
Viral Infection
Pulmonary Tuberculosis