dextrocardia with pyothorax?

45/m old treated pul Koch's has c/o fever, breathlessness n chest pain.trop 0.06.kindly help in diagnosis and treatment.pt is smoker.abg s/onType 2 RF

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Rt sided hyperinflation with apical fibrobronchiectatic lesions seen. Left sided opaque hemithorax sec to diffuse fibrosis. Complete volume loss and mediastinal herniation towards left side.( Auto pneumonectomy) Findings sugg of PTB sequelae. ECG NSR RAD. Sub endocardial ischemia. Adv Echo CD to see for RV strain, RWMA. Further management accordingly.

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Left lung collapse with right pneumothorax. Tracheal and mediastinal shift to left. ECG showing T wave Inversion in 2,3avF. ST depression and t wave Inversion in all chest leads. S1 Q3 T3 S/o Pul. Embolism. Severe pulmonary hypertension ? Pulmonary hypertension due to ? Pulmonary embolism with Atelectasis in type 2 respiratory failure. ? reactivated TB Adv- Wells score D-dimer, Echo, Cardiac enzymes,AFB. CTPA, V/Q scan, Venous Doppler High FiO2, ventilator support, cardiac catheterization Anticoagulate and monitoring Recommended that i.v. anticoagulation with UFH, including a weight-adjusted bolus injection, be initiated without delay in patients with suspected high-risk. Full dose alteplase If high bleeding risk, catheter directed clot lysis.

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Left hemithorax , with mediastinal shift and hyper inflation of right lung , right upper zone fibro bronchiectatic changes , s/o post tubercular sequalae . Chest pain can be attributed to ? Pah or pleural fibrosis , echo suggested. Active tb to be ruled out and lama or ics-laba to be started . Sos LTOT if hypoxemia present. Routine pneumococcal and influenza vaccination .

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Lt hemithorax opaque and collapsed trachea and mediastinum pulled to lt Atelactiasis lt lung Rt upper zone shows fibrochachiatic healed scars Ecg suggest sinus tachycardia Acute t inversion in chest leads Yes likely pulmonary embolism with ARDS Intubation for ventilatory support Rest all supportive treatment with monitoring of vitals

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CXR STUDY.. LEFT..LUNG. COLLAPSED.. TRACHEA..MEDIATINUM..PULLED..TO.. LEFT SIDE.. ECG.. NSR.. SINUS TACHYCARDIA.. ? ARDS.. ? KOCH'S SEQUELAE.. NEED'S.. FURTHER EVALUATION WITH EXPERTS OPINION..

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Collapse consolidation of lt lung with severe pulmonary hypertension Put on ventilator for RF Do rt heart catheterization treat according to PAH

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well explained by all senior dr. and i m also agree @ Dr. Sandepp & Dr. Shivrag & Dr. Kute Sir Ji... Pt. Need HFOT, & NIBP Support...

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Left hemithorax opaque. Mediastinum pulled towards left side with fibro collapse. Old Koch,s

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POSSIBLY.. OLD. ..P. TB LT.. OPAQUE HEMITHORAX

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Right lung hyperinflation Tracheal shift to left Left hemithorax opaque. Left side crowding of rib ? Left destroyed lung with fibrothorax. Suggest CT chest , bronchoscopy

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