40 yr male with abnormal x Ray

THIS 40 YEAR MALE C/O PAIN IN LT AXILLARY REGION WHICH RADIATING AT LT HYPOCHONDRIAC REGION NO C O COUGH FEVER WEIGHT LOSS HAEMOPTYSIS ON CHEST AUSCULTATION AIR ENTRY SOUNDS DECREASE IN RT LUNG AREA THUS X RAY CHEST PA DONE WHICH SHOWS FOLLOWING IMAGE REPEAT X RAY DONE TO RULE OUT ANY ROTATION OR ARTEFACTS BUTH BOTH X RAYS ARE SIMILAR DO XRAY SHOWS ANY ??? MALIGNANCY TUBERCULOSIS COLLAPSE OR ANY OTHER FINDING PLZ OPINE

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Opacity seen in left upper lung field. Possibly Koch's or pancoast tumor. Clinical history and findings favours malignancy. Needs CECT thorax and guided biopsy HPE. Thoracic surgeon's opinion.

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Lt apex is opaque occupied by dense opacity likely malignant tumor D/d tuberculosis Also look for lt hypochondrium and r/o splenic infarct adv usg abdomen

Thanx dr Dinesh Gupta
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*PTB ** Malignancy Needs further investigation and evaluation to conclude and line of treatment.

Thanks Dr Dinesh Gupta
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POSSIBLY KOCH'S DD MALIGNANCY

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? Mediastinal widening, ? Lymph nodes , malignant mass ? Collapse left upper lobe. . CECT , biopsy, bronchoscopy with BAL

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Take Thoracic surgeons opinion

Thank you doctor
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