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.
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.
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
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.
SUGGESTIVE OF BRONCHIECTASIS WITH FIBROSIS. POSSIBLY.. RECURRENT P. TB... DD LUNG. ABSCESS
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
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
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.
Upper lobe of both sides collapse with fibronodular changes and infiltration seen. Check again Cbnaat, Afb, esr cbc Active Koch's
Fibrocavitory lesions bilateral Lungs ask for CBC ESR Blood SUGAR HIV Sputum for AFB CBNNAT TB platinum to ruled out Koch's chest
Recurrence of pulmonary TB Consolidated and fibrosed lung tissue visible in both lungs
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