Concluded Case

is it ILD or occupational lung ds

55/m comes to emergency with dry cough ,easy fatigability and fever .he had worked 3 months in sand mills.what could be diagnosis.

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Concluded answer

Left paracardiac heziness seen. Bil diffuse parenchymal reticulonoduler opacities, septal thickening Few alveolar infiltrations, seen. Findings sugg of ILD with secondary infection. Needs evaluation.

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What was his previous occupation?3 months is very short history for this much fibrosis...left lung is more affected?may be there was also pul tb on the underlying chronic lung disease(any history of tb?)is there history of smoking?any significant recurrent respiratory infections in childhood?family history of ild?.is there fever?oxygen saturation?ct is also showing ground glass opacities, meaning some acute pathology on chronic underlying disease.. Appears more of acute exacerbation of ild(bacterial, viral) than occupational lung disease(pul siderosis, silicosis) other differential-post sarcoid fibrosis with tb, cbc with esr, rft, lft, abg, fasting sugar, covid swab, sputum if available(AFB, gram stain and culture),ecg 2d echo(long-term effects of lung disease on heart) BAL fluid analysis can be tried if available.

Thank you doctor
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History of exposure to sand . ILD , CT chest - There is nodulo reticular changes in especially in upper and middle lobe. Silicosis . Rule out associated tuberculosis.

Left paracardiac heziness seen. Bil diffuse parenchymal reticulonoduler opacities, septal thickening Few alveolar infiltrations, seen. Findings sugg of ILD with secondary infection. Needs evaluation.

Yes it is

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