Concluded Case

38 yrs old female presented with dry cough dyspnea since last one week. had fever and rhinitis, but symptoms subsided now. occ basal crepts heard. spo2 85 to 88% BP 120/70mmhg. HR 95/min. CBC normal. creat 1.3 BSL 89 ECG NSR WNL. plz comment on cxray. case is updated with CT thorax images.

(Edited)

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Concluded answer

Xray shows bilateral basal heterogenous opacites As symptom and sign with xray suggesting We should go for N1H1 sampling Start oseltamivir Broad spectrum antibiotics. Symptomatics Routine investigations also including ECG, HIV, CBNAAT sputum

All Answers

Hyperinflated lung bilateral Bilateral paracardiac congestion with discrete nodes.n few cavitary lesion..(r/o pulmonary edema/CCF?) Mild Cardiomegaly /? pleural effusion rt Adv echo/cect Imp: COPD with cardiogenic pulmonary edema.

Bil Hyperinflated Lungs, COPD RT fissural thickening Bil synpneumonic pleural effusion, Bil basal congestion ,fibronodular infiltrations Cardiomegaly ,? Pulmonary edema ,?? pericardial effusion ?? Viral pneumonia Suggest HRCT, ECHO pleural aspirate analysis for CBNATT

Bilateral plural effusion ask for CBNNAT

Xray shows bilateral basal heterogenous opacites As symptom and sign with xray suggesting We should go for N1H1 sampling Start oseltamivir Broad spectrum antibiotics. Symptomatics Routine investigations also including ECG, HIV, CBNAAT sputum

Bilateral lower & mid zone mottling and soft Infiltration seen ? Pnumonia ?? Bronchial Asthma

Thanx sir
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B/l lower zone consolidation - pleural effusion

Viral pneumonia... Can be seasonal flu or ?H1N1. Send 2swabs for H1N1 and start Cap Oseltamivir 75mg 1BD for 5 days...

B/L basal consolidation with cardiomegaly.Heart failure

Thanks dr ghodekar
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Bilateral lower and midzone mottling and soft infiltrates seen.could be pneumonitis.

@Dr. Laxmi Devi

Bilateral pleural effusion with bilateral lower zone consolidation
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