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.

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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.

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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

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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.

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

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

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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

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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

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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.

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Upper lobe of both sides collapse with fibronodular changes and infiltration seen. Check again Cbnaat, Afb, esr cbc Active Koch's

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

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Recurrence of pulmonary TB Consolidated and fibrosed lung tissue visible in both lungs

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