Concluded Case

35 yr old male presented with complaints of DOE and severe breathlessness BP was 110/70 mmhg .

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Rt sided opaque hemithorax with mediastinal shift towards left.h hyperinflation on left. Sugg of rt sided massive pleural effusion. Needs ICD on rt side.

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Rt sided opaque hemithorax with mediastinal shift towards left.h hyperinflation on left. Sugg of rt sided massive pleural effusion. Needs ICD on rt side.

Thanku dr
0

Agreed with Dr. Ghodekar. May be ?hydrohemothorax ?Ca Lung parenchyma ? massive empyema ? pleural effusion Insert ICD and send the collection for R/M C/S and abnormal cell suspect. See P/E air entery in RT side is restricted. See cardiac profile, ECG 2DECHO, renal, hepatic profile with STD status and ANA DsDNA

Thanku dr
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Things that are for sure : Rt sided pleural effusion with mediastinal shift. Provisonal diagnosis : TB/ pleual based mass/ bronchogenic carcinoma Next step : pleural tap - diagnostic and therapeutic(ICTD) Further course of action - sputum for AFB, regular blood counts , CECT THORAX. P. S. : Age is 35. Carcinoma is less likely

RT. SIDED.... OPAQUE. HEMITHORAX MEDIASTINAL. SHIFT. TO. LT RT. SIDED... ... MASSIVE. PLEURAL. EFFUSION.. ADVISABLE... 1. FLUID. CULTURE / SENSITIVITY 2. USG

Rt sided opaque hemithorax. Left side Hyperinflation present. Massive plural effusion. ATT and symptomatic treatment. Maintain nutrition hydration and hygiene.

Thanks Dr Dinesh Gupta.
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Its a case of pleural effusion.The patient needs to be started on ATT as soon as possible.

Massive pleural effusion right. Trachea and mediastinum shifted to left.

RT side pl effusion

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Right sided massive pleural effusion with underlying collapse with compensatory hyperinflation of left lung and mediastinal shift towards left

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