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55 yrs lady, presented with dyspnea fever cough chest pain on deep breathing since last week. spo2 78% HR 140/min BP 150/80mmhg. Bil fine crepts and generalized wheezing heard. plz comment on this case.

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Diffuse reticular infiltration with soft motlings both lower lungs Non-homogenous opacities Lt lower lung Ground glass appearance ILD WITH LT LOWER PNEUMONITIS Ventilation O2 inhalation Nebulization BS antibiotics Furesemide Cyclophosphamide Corticosteroid

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Reticular fibrosis in lower zones b/l Bronchovascular markings bilateral prominent My impression izs she is a c/o copd with basal congestion b/l probably in ccf/corpulmonale chest pain looks to be pleurodynea Pt is hypoxic hence nasal ventilation Diuretics bronchodilators broadspectrum antibiotics Adv for ecg and 2decho beside bedside investigations

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Bilateral BASAL pneumonitis, left more than right Pleural effusion, left Considering short duration of illness, and gross hypoxia, viral pneumonia can be thought of. H1NI should be checked . Ventilation,O2, antibiotics, antivirals, nebulusation, judicious use of steroids

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Diffuse reticular infiltration with soft motlings both lower lungs Non-homogenous opacities Lt lower lung Ground glass appearance ILD WITH LT LOWER PNEUMONITIS Ventilation O2 inhalation Nebulization BS antibiotics Furesemide Cyclophosphamide Corticosteroid

Both lungs bronchovascular markings prominent more so on lt side with fibrocavity lesions Rt basal round opaque shadow Lt air bubble below the cardiac border ? Hydatid cyst ?? Fungal ball ???Malig

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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Pneumonitis left lower lung. Fine reticulations with soft motlings both lower lungs. Cardiac shadow is WNL.

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ILD ...OCCUPATION ??...

Rt pleural effusion

Dx Diffuse reticular infiltration with soft motlings both lower lungs opacities seen in Lt lower lung Ground glass appearance LT LOWER PNEUMONITIS with associated ILD rest of lower lung area Rx O2 inhalation high flow When need than start intubate and ventilation Nebulization Inj.class of Macrolide antibiotics Inj.class of diauretics Inj.class of glucocorticoid Inj.class of Antipyretics wid analgesic class Inj.class of xanthines

Tree in bud appearance, can be endobrochial TB,bacterial, viral ,ILD as well as to R/O neoplastic pulmonary embolism. Investigate accordingly, till then symptomatic treatment

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