55yr / F, presented at OPD with H/O 7days low grade fever, non productive cough, left Chest pain. She is on Seroflo250 twice daily since few years as OTC. She is non Diabetic and Non Hypertensive. TLC 9600, P76 L22 M0 E2. Her Biochemical profile, ECG, CXR enclosed.

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Her xraychest suggest a cavity in lt lower lobe in base with mild oblitration of lt cp angle. Her ecg shows sinus tachycardia otherwise wnl. Her counts are normal except tlc towards little higher side.i think treat as LRTI and rule out kochs being pt of copd should continue her nebulisation.

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Blood report & Ecg is wnl X-ray Cardiomegaly with Lf sided pleural effusion & Single cavitatory leasion Do X-ray Lateral view Ruled out imunological status Tap fliud send for Routine & CS examination After Taping repeat PA VIWE to see boundery of leasion In ANY DOUBT CECT is best choice

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X ray suggestive of lt lower lobe cavitory lesion with probably air fluid level, lt cp angle is obliteterated, Looking to her illness and on steroids, lil bit immunocompromised condition As we are in endemic zone first and for most tuberculosis to rule out , if at all ct thorax will differentiate things Lesion is too big don't make it resistant to antibiotics Plz follow the guidelines

She is a non diabetic middle aged woman. First investigation I suggest is go for sputum afb and widal. If both are negative than treat her with higher antibiotics and supportive line of management.

Left pleural effusion.

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Left lower zone and right peri hilar haziness...low grade fever with if wt loss present better to rule out Koch's..otherwise to treat as LRTI with antibiotics preferably in hospital sir..ecg shows sinus tachy

X Ray ECG & lab reports are unremarkable ,give Short course of antibiotic along with continuation of bronchodilator.

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Both cp angles clear Left lwr zn show bronchiectatic pic

There is mild elevation in TLC, in ecg sinus tachycardia and other finding of ecg normal, changes in chest X-ray suspect lung infection. Plz do PFT, AFB then treat

Sir any history of weightloss sputum examination for afb and gram stain if any expectoration otherwise to Be given a course of and repeat x-ray

A course of antibiotics and repeat x-ray and hrct thorax
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