56 year old male, chronic smoker complaining of weight loss and productive cough. CXR is attached. Kidly read the X Ray.

1 Like

LikeAnswersShare

Basically a Copd x-ray with hyperinflated both lungs. A well circumscribed oval shadow in left hilar raises the doubt of bronchogenic CA esp with wt loss ..... Further investigation.. Cect thorax and bronchoscopy.. Send sputum also for AFB Smear and bactec culture

Thank you sir!!
0

right upper lobe infiltrates with mediastinal widening as such no sign of hyperinflation DD to look for TB malignancy sputum for AFB CECT chest FOB BAL if required and PFT to look for severity of COPD

Thank you sir! :-)
0

Hello, looks like copd cxr with hyperinflated both lungs and increased bronchi vascular markings. no evidence of mass lesion or an opacity. As patient has productive cough send sputum for gram stain and AFB. keep copd under good control and give protein diet and stop smoking.

Thanks sir!!
0

infiltrates in both upper zones and hilar prominence on left side.. send sputum for AFB to rule out Koch's

Thank you sir!! :-)
0

View 3 other replies

infiltration in RT upper lobe , suspected case of Koch's Heamogram ESR sputum test PPD Test HRCT must be done if possible.

Thanks sir :-)
0

chest x ray is slightly left anterior rotated so can't comment upon right hilum. but right hilum seems to be enlarged ( vascular). bilateral vascular markings in lung fields prominent, seen in copd patients especially if there some element of secondary PAH. Left hilum shows a distinct rounded shadow becoming more prominent on left anterior rotated film .That left hilar shadow is at the level of pulmonary conus , hence rule out PAH ( causes you know). other reasons in this patient may be large left hilar L.N or a mass lesion ( well defined borders make mass lesion less likely...but one can't be sure). I would suggest a CECT thorax if permits. hope this might help.

Thank you sir!! :-)
0

View 4 other replies

Hyperinflation with fibrotic shadows in rt. Upper zone to me it looks like a copd with old healed shadow . I would have done Xray loardotic veiw & sp afb .

Thank you! :-)
0

Pulmonary koch's right upper lobe, advised AKT.

Thanks sir! :-)
0

copd with enlarged lt hilum adv hrct

Left hilar prominence. Needs CECT chest. May need EBUS guided transbronchial needle aspiration.

Thanks sir! :-)
0
Load more answers

Diseases Related to Discussion

Cases that would interest you