Concluded Case

55 ys diabetic male,presented with fever anorexia dry cough chest pain since 15 days. off OHA due to poor apetite. RS-occ crepts on rt side. BP 120/70mmhg, spo2 97% radio images ,lab reports attached. plz comment.

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Concluded answer

Cavitory lesion right upper lobe posterior segment with surrounding GGO and nodular infiltrates ..few infiltrates in right lower lobe..in accordance with all lab reports and co-morbidities , looks tubercular etiology.. Should be sputum AFB culture positive ..if not, plan Bronchoscopy for Bal AFB smear and culture

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There are multiple small cavitory lesions with infiltrates in rt mid zone and reticular fibrotic changes with haziness in lt lower zone with pleuritic reaction. Bsl is high uncontrolled diabetic. Since cough is dry BAL will be ideal modality to fix diagnosis send lavage for pcr r/o pulmonary tuberculosis till than control the diabetes and treat with broadspectrum antibiotics or macrobiotic for 10 to 15 days if not responding put on ATT also add bronchodilators expectorants and antipyretics and if needed iv fluids.

Thanx dr Vithal Sarvaiker
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Cavitory lesion right upper lobe posterior segment with surrounding GGO and nodular infiltrates ..few infiltrates in right lower lobe..in accordance with all lab reports and co-morbidities , looks tubercular etiology.. Should be sputum AFB culture positive ..if not, plan Bronchoscopy for Bal AFB smear and culture

Thank you doctor
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Right upper live infiltration With fibrocavitatory lesion Suggestive of pulmonary tuberculosis Along with highly uncontrolled diabetes

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PTB Infiltration of right lower obe present Cavities right upper lobe seen.r right hilum elevated. Needs further investigations and evaluation to conclude diagnosis and line of treatment. Inj ceftum 500mg iv bd slowly. Maintain nutrition hydration and hygiene. Multivitamins and antioxidants orally.

Thanks Dr Dinesh Gupta.
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Right hilum is elevated. Fibrocalcific lesions right upper lung. PTB.

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Multiple fibroreticular infiltration Rt upper zone RT paracardiac reticulonodular SOL Diabetic R/O Can lung/PTB

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Cough more than 2 wks... and chestpain suggests..T.B..radiograph shows ..multiple areas of opacification..on right lung.. Advise: AFB, mantoux test .CBC ESR.. Followup..

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Fibrocalcified lesion present in Rt lung Koch's Uncontrolled diabetes

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Pulmonary tuberculosis with uncontrolled diabetes

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