Concluded Case

42 yrs old smoker presented with Cough with copious sputum Chest pain Dyspnea Fever Night sweats For 15 days Past H/O- pul TB - took 6 months AKT from govt hospital P-104/ min BP-110/74 Rt-22/ min RS- b/l creps scattered, few rhonchi CVS- normal Interpret CXR & diagnosis.

8 Likes

LikeAnswersShare
Concluded answer

Rt apical fibrobronchiectatic and cavitary lesions seen. Few nodular calcification seen. Left upper zonal air fluid level seen. Possibly Lung abscess or encysted hydropnemothorax. Possibly Koch's sequelae.

All Answers

Big thick walled cavity rt upper zone Fibrochachiatic reticulonodular infiltrates rt chest Lt side dense nodular infiltrates with collapsed rt apex with fluid level in cavity This is OLD C/O PULMONARY TUBERCULOSIS WITH MDR TDR OR XDR Adb cbnaat BAL for pcr Hrct

Thanx dr Dinesh Gupta
0

View 11 other replies

Rt apical fibrobronchiectatic and cavitary lesions seen. Few nodular calcification seen. Left upper zonal air fluid level seen. Possibly Lung abscess or encysted hydropnemothorax. Possibly Koch's sequelae.

Valuable opinion
1

1.Extensive cystic and cylindrical bronchectrsis of moderate degree in bilateral lungs in upper and middle zone associated with chronic bronchitis? 2.There r patches and fibrosis due to chronic infections. This will be indication re active ptb. Do sputum culture and sensitivity CBNAAT,CT THORAX. Tab.clarithromycin 500 bd Tab.Allegra M od Tab.prednisolone 5mg in tapper off dose Tab.ETAMBUTOL,RIFAMPICIN, Pyrazinamide according to body weight dosage as per lab test result Syp.Asthakind LS

Thank you doctor
0

Extensive fibrosis in right upper lobe Extensive Calcification in right middle lobe Left upper lobe cavitatory lesion with air fluid level - suggestive of lung abscess ? Recurrent tuberculosis

Thank you doctor
0

View 1 other reply

* BL .. FIROCAVITARY LESIONS.. ? PTB .. NEED'S.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT ..

Valuable opinion
0

View 3 other replies

SUGGESTIVE OF BRONCHIECTASIS WITH FIBROSIS. POSSIBLY.. RECURRENT P. TB... DD LUNG. ABSCESS

Valuable opinion
1

Bil hyperinflated lungs Bil fibrobronchiectatic infiltrations and cavitatory lesions , sparing bases. ? Pleural calcification. Left upper zone ,lung abscess with air fluid levels. ?MDRTB, ? TB sequel, pyogenic lung abscess ? Aspergillosis,? Malignancy,? Silicosis Suggest sputum for AFB and CBNATT, fungus and cytology. CT chest .

Thank you doctor
0

View 1 other reply

Fibrocavitory lesions bilateral Lungs ask for CBC ESR Blood SUGAR HIV Sputum for AFB CBNNAT TB platinum to ruled out Koch's chest

Thank you doctor
0

Extensive fibrosis and cavitation seen bilaterally in upper and middle zone with a large cavity+fluid level in the left lung,lung abscess, with post Koch's sequelae.

Valuable opinion
0

Rt lung shows fibrosis with calcification with remaining hyperinflamated lung ,lt lung shows Air fluid level with big cavity and ribs are not seen in fluid so it is purulent and also shows calcification and remaing hyperinflamated lung my diag is old healed kochs with empyema with COPD adv hrct thorax and sputum for CBNAAT to ruleout activation of old tb

Load more answers