Concluded Case

pleural effusion

55/m presents with dyspnea on exertion ,normotensive, nondibetic ,mild fever since eight days ,no weight loss, no loss of appetite esr 57 leucocytosis (15000 wbc) ,need your valuable opinions ,thank you

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Concluded answer

left sided synpneumonic effusion

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1. Neutrophilia, fever, CXR shows left lower zone opacity.....? EMPYEMA THORACIS /PNEUMONIA 2. Leukocytosis, raised ESR, CXR shows left upper zone and left lower zone opacities....? PTB Rx : 1. 1st /2nd Gen Cephalosporin 2. PCM 3. Follow up xray after completion of antibiotic course to see progression or remission. 4. CT thorax for confirmation of diagnosis 5. Sputum for ZN staining +/- CBNAAT.

Thank you sir, a little dry cough is there, not productive ,sputum is absent
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Left apical heziness with left lower costal 's' shaped pleural effusion noted. Needs USG guided tapping to differentiate between bacterial/tubercular infection.

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X-ray picture.. LT.side lower zone opacity with obliteration in CP angle, ? Plural effusion .. ESR 57..raised.. Leucocytosis.. H/O Dyspnoea on Exercison .. Suggestive of ?PTB.. Better to evaluate clinicopathologically With SPUTUM FOR ZN STAINING.. CB-NAAT.. PLURAL FLUID ANALYSIS..SOS. Meanwhile treat with.. Rest.. Glucose supplement .. Symptomatic treatment.. Cough Expectorant..

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Left lower zone opacity with obliterated left CP angle and ellis S curve. Pleural effusion left. Hatero opacities left upper lung. PTB

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PTB ( plural effusion ) B/L CP angle obliterated. Haziness allover. Needs further investigations and evaluation to conclude diagnosis and line of treatment.

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Left sided synpneumonic effusion

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Left side lower zone opacity with oblitertiion on CP angle. Pleural effusion.

Left side lower zone opacity with Obliteration in CP angle. Pleural effusion

left sided synpneumonic effusion

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Left please.effusion.haziness all over.pul.tuberculosis.

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