40 yr old male pt,there is no complain related to chest

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Bilateral apical & upper zone reticulonodular infiltration Hyperinflated lungs Tubular heart Lt lower zone bronchuectatic changes with homogenous heziness, ? Pleural thickening COPD with Bronchiecstasis with pleural thickening ? Sequeling of PTB

Thanks Dr Priyanka Powar
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Reticulonodular opacities seen in both lung apices Reticulonodular infiltration seen in left lower zone There is blunting of left costophrenic angle suggestive of left pleural effusion All these finding put together - highly suggestive of pulmonary tuberculosis Adv Sputum for AFB, Gene Xpert and tuberculosis culture Pleural fluid USG guided aspiration and send for routine microscopy, cytology, albumin, LDH, ADA levels and AFB culture

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Is there persistent low grade fever, weight loss, anorexia,?goes more in favour of Koch's.is there past histroy of cough, ,fever,breathlenesss with cigar, tobacco, or ghutka.. should think of COPD with exacerbation of LTTI..,however effusion needs to be tapped for cytology and AFB,with culture. We should take occupational history...occupational lung disease orr interstitial lung disease can present silently and remain quiet.needs CBC, ESR, aso, ldh, cbnaat, plural tapping and to manage accordingly

Prominence at lt hilar region with reticuonodular lesions lt lower zone D/d tuberculosis 2 malignancy

Thanx dr Sandeep Ghodekar
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Hyperinflation Few fluffy opacities seen bilaterally. Left basal fibrobronchiectatic lesions seen. Findings sugg of PTB sequelae with COPD.

SUGGESTIVE OF COPD FIBROBRONCHIECTASIS ADVISABLE USG ... CHEST. AND. ABDOMEN ALL. ROUTINE. INVESTIGATION AND SYMPTOMATIC MANAGEMENT... POSSIBLY OLD. P TB. SEQUELAE MAY BE. OCCUPATIONAL..ILD

COPD Left hilar opacity ,left hilum pulled up. Left CP angle blunted Left basal haziness with fibrosis ? Left basal fibrosis with pleural thickening. ? Old PT sequel Suggest HRCT ,Sputum for AFB and CBNATT

Trachea central Hyperinflated both lungs with reticulo nodular opacities Left lower zone hazy ?Pl effusion Routine blood examination Sputum for AFB CT chest Pleural fluid aspirate for TB ? Pull Kochs

Copd Empphysamatous lungs Left lower Fibrobronciectatic infiltration Blunted left cp.angle wth heziness Sugg left lower pleural effusion ?Tubercular Adv CECT chest ICD nd fluid examination

Left apical pulm koch,s with left plural effusion with collapse atelectesis

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