57 yr old male , farmer , chronic smoker, no h/o DM or CAD presented with complain of breathlessness and cough with expectoration from last 3 yrs but both the complain have increased from last 15 days along with fever . Pls comment on the xray

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Copd Reactivzted ptb superimposed on old healed bilateral ptb Rt more then left However side by side ma.ignant process takung birth shld also be born in mind

COPD emphysema. Large area of Rt mid,upper zone and small area of Left lower zone bronchiectasis with parenchymal destruction. Possibly Koch's relapse/superadded infections.

The wide intercoastal spaces and barrel shape chest with history of smoking does suggest emphysema but ruling out diseases like tuberculosis and pneumonia should be of the utmost importance. Further investigations including sputum analysis, tuberculin test and CBC.

Copd, empyema rt side most probably secondary to Pulmonary TB
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Everything is possible ,from AECB /Koch's / ca lung / farmer's lung all need is sputum microscopy for afb if negative --cbnaat , bronchoscopy with bal test , ct chest ,routine hemogram, esr, sputum for gram bact,

Aspergillosis/PTB

CHRONIC BRONCHITIS WITH LUNG INFELTRATION FO ALSO COVID TEST

Possibility of Ca lungs but ruled out PT .Ask for CT Lungs CBNNAT PCR to ruled out TB

Aspergillosis/Lung metastasis

Possibility of malignancy vs ptb Consider contrast ct

Possibly of Ca.lung

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