55 year old male with history of working in stone industry having hoarseness of voice and coughing at night time no history of pulmonary tuberculosis kindly give your valuable x-ray reading thank you

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Left sided coastal pleural plaque noted. Underlying fibrobronchiectatic lesions seen. Changes of COPD emphysema. Changes sugg of silicosis with possibly Koch's sequelae. Treat for COPD with active secondary infection. Sugg sputum examination, CT thorax and video laryngoscopy.

Differential diagnosis may include Silicosis, pulmonary tuberculosis, Intestitial lung disease, cystic bronchiectasis, Bronchiolitis obliterans, X-ray shows bilateral blunting of cp angles indicating? Bilateral pleura effusion with normal cardiac silloutte but left side opacities with trachea central, plan Hrct thorax, sputum if there then sputum AFB, Cb-naat, sputum gram stain and culture sensitivity, complete blood count, BAL fluid SOS, check spo2 and Pao2,

Thank you for answering sir..spO² is 98% at Room air
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Highly thickened pleura lt side Mottling confluent nodular infiltrates all over lt lower and middle lobe Lt cp angles obscured and dome is straightened Rt cp angle minimum obscured Silicosis with thickened pleura as tubercular pleurisy

Thanx dr Kute Ankush
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BILATERAL HYPERINFLATED LUNGS.. CHANGES OF COPD.. * LEFT SIDE COASTAL PLURAL PLAQUE.. ? ILD.. ? PTB.. ? CYSTIC BRONCHIECTASIS.. NEED'S.. * HEMOGRAM.. * CBNAAT.. * SPUTUM STUDY.. * HRCT THORAX..

Tnx Dr Shivraj Agarwal sir
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Bil Hyperinflated Lungs, with flattened domes of diaphragm, COPD, emphysema Fibrobronchictatic changes left lung, with left costal pleural plaque,? Pleural effusion, Left dome elevated, left hilum pulled up, left lung volume loss due to fibrisis Right pleural effusion ? PT sequel,.?ILD,pneumoconiosis HRCT, sputum for AFB and CBNATT,

Valuable opinion
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Reticulo-nodularity shadowing predominantly in the left middle and lower zone with sparing of the apices.slight tracheal shift to the left.?ILD,ptb, bronchiolitis obliterans.sputum analysis,hrct thorax to be done.

SUGGESTIVE OF COPD EMPHYSEMA SILICOSIS SECONDARY. INFECTION ADVISABLE.... USG....CHEST. AND. ABDOMEN

Fibroretucular infiltration of left lung wth pleural thickness pleural plaque Cgenges of copd emphysema ILD sugg silicosis

*ILD ** PTB NEEDS FURTHER INVESTIGATIONS AND EVALUATION TO CONCLUDE DIAGNOSIS AND TREATMENT PLAN.

Thanks Dr Sachin kale
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Pneumoconiosis

Tnx Dr Gupta
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