35 femqle c/o chronic cough dyspnea,spo2 80%,bil fine crepts and wheezing present. lab CT thorax and cxray Echo attached.plz comment.

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Likely Interstitial lung disease D/d Bronchiectesis,occupational lung disease PT unlikely Chest x-ray: extensive fibrosis with bronchiectactic changes with reticulosis ECG suggest old inferior wall infarction Hb 15.9 and low oxygen saturation and advance clubbing strongly suggest ILD.

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Xray chest shows pulmonary oedema and raised PAH as 2decho supports pressure is more than 55mm with rt vent dysfunction hrct suggest chr copd as intense fibrosis bilateral ecg has p pulmonale otherwise normal the whole picture with complaints of chr cough with dysponea fine crepts and wheez b/l COPD WITH PAH

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Diffuse Septal Thickening Basal Bronchiectatic Changes ground glassing Interstitial Lung Disease likely NSIP

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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!

Young female with these complaints.. n investigations... d/d ild (may b autoimmune cs ) Cystic fibrosis leading to bronchiectasis with pneumonia or pulmonary kochs needs to b ruled out.esr moutoux sputum c/s ,afb,cbnaat helpful Ecg appeared normal... if any finding plz comment

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Pz add CT report Ecg V2, v3 swapped Old IWMI St depression in v2 to v6 Clubbing & Hazzines over Rt lung Copd

Hazzines present in both lungs, clubbing of nails,, do esr sputum afb cbnaat, PTB. Occupation history, smoker any other, D/d PTB Bronchiectasis

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CLUBBING .+ CXR & CT SCAN THORAX TREE IN BUD APPEARANCE BOTH SIDES FIBROTIC LESION BOTH SIDES SEQULLE TO PAST TB EMPHYSEMA + ECG STRAIN PATTERN V6 v5 LVH

Case of DD.pulmonarary TB.Bronchietasis.have a HRCRT chest.gram stain of centrifuged sputum also

? bronchiectasis.

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