45 male came with severe dyspnea old ptb used irregular att multiple times in past .exsmoker chronic alcoholic at present c/o mild dyspnea on/off but saturations are around 85 % with room air diagnosis?

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With the h/o breathlessness and Hypoxia it seems that patient is basically suffering from acute exacerbation of COPD Treat the patient with nebulisations. Antibiotics and oral theophylline. There is also a thick wall cavitatory lesion with few small cystic lesions along it Aetiology? Tubercular Fungal Malignant Needs investigations to establish the cause.. By sputum /bronchoscopy lavage

There is a big well defined hypoattenuating sol in post segment of upper lobe n apical segment of lower lobe of right lung with surrounding small cystic areas n seen communicating with airways s/o? Cystic bronchiectasis as 1st possibility with collapse of rt lower lung also ground glassing seen in left lower lobe

thick walled cystic lesion right side probably post-tubercular. where are the sagittal sections by the way? you may consider doing fob and bal for c/s. antibiotics acc. bronchodilator therapy should help in pulmonary rehab

bilateral cavitatory lesions
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1 . large bulla R upper zone & middle zone ( post part of upper lobe& apical part of lower )(pt. going against it is it is thick walled here) 2. encysted pneumothorax R upper lung 3 . tuberculous cavity 4. malignant growth c cavitation 4. hydatid cyst 5. aspergillosis

Pulmonary koch's right.

Large thick walled cavitatory lesion is seen CT..rule out aspergillosis...eosinophilia..tab itraconazole 200 bid..

It's a bulla or located pneumothorax rt. HYDATID CYST ALSO HAS TO BE KEPT MIND. WHAT about CXR PAV. PLEASE TAKE PROPER HISTORY

post primary tubercular cavitatory lesion of lung...rule out asperigilloma and hydatid cyst of lung

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