58/Male with History of HTN Old smoker stopped 10 years back attached xray

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Tracheal shift to right Destroyed lung ,right Fibrocavitatory lesions ,Rt upper zone Compensatory hypertrophy, left lung . OLD PT SEQUEL HRCT , sputum for AFB and CBNATT

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Fibrovascular cavity rt apexwith nodular infiltrates Trachea pulled to rt Collapse rt lower lobe pulling mediastinum rt side Lt lung hyperinflated Pleural effusion rt side P T B with pleural effusion D/D malignancy

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RT Sided pleural effusion

Homogeneous opacity rt lower and mid zone Fibrovascular cavity seen in rt apex with nodular infiltrates Trachea is pulled rt Collapse of rt lower lobe pulling whole mediastinum to rt side Lt lung is hyperinflated and clear Pulmonary tuberculosis with moderate pleural effusion D/d malignancy

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Diffuse parenchymal fibrosis of rt lung Wth loss of volume Pleural thickening noted Compensatory hyperinflated left lung ?koch's Need further investigations

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Cavitory apical Koch's with rt plural effusion tapping cbnat COPD trachea shifted right

Trachea deviated towards rt Rt diffuse parenchymal fibrosis with fbrocavity lesions in the apical region with bronchiectasis Lt lung hypernflated Old PTB sequele Rule out active lesions COPD Emphysema with PTB sequele CT thorax to rule out active lesion

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Trachea & mediastenum pull in right Lung fibrosis rt upper lobe Rt mid & lower massive pleural effusion Left lung compensatory emphysema ? Sequelae of PTB

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Rt sided diffuse parenchymal fibrosis with tracheal and mediastinal pull noted. Complete volume loss and pleural thickening noted. Left sided compensatory hyperinflation seen. Findings sugg of old Infective sequelae like Koch's. Evaluate and treat for active infection.

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Rt fibro cavitatory and collapse with pk effusion. Old koch

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