49 year old male having fever from one month..all blood report is normal..only ESR 110..montex neg..old h/0 T2DM. / HTN ..CT report attached..adv plz

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Mediastinal lymphadenopathy D/D 1. Acute lymphoblastic leukemia 2. Lymphoma 3. Sarcoidosis 4. Cystic fibrosis 5. Tuberculosis 6. Histoplasmosis 7. Coccidioidomycosis

Thank you doctor
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Ideal is to get ct guided biopsy or TBNA. Could be Infective or reactive lymphadenopathy. May consider AKT on Clinicoradiological grounds.

Sir patient not having cough or any symptoms of respiratory infection..only complain of fever from one month..no other complain...is can start ATT or first to do biopsy
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Looks look like Ca or TB even Mx is negative, but needs thorough checkup

Looks loki Ca, but needs thorough checkup

Sir all the routine is normal.. except ESR 110..CRP 94...
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