58M with c/o recurrent attacks of breathlessness for past 4 months.. o/e breath sound slightly decreased mild creps + gr 1 clubbing plus not a k/c PTB recent x-ray attached..

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Bil hyperinflation seen. Prominent Pulmonary arteries seen. Adv Echo CD to rule out PAH. PFT CBC to confirm secondary infection causing acute exacerbation.

Rt cp angle is blunted Basal crepts and reduced breath sounds rt lower zone Needs to evaluate Likely koch's

Thanx dr Sandeep Ghodekar
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PNEUMOTHORAX, right Bil hilar adinitis COPD ,emphysema Needs ECHO ,ABG HRCT

Thank you doctor
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Intrsticial lung disease

U/L hyperlucent hemithorax... 1st dd will be pneumothorax as pt has presented with only chest pain (chronic) ... I will advise usg chest (if available) to confirm... or a ct chest... Or directly confirm by needle aspiration and go with a pigtail insertion with slow drainage of air...

COPD WITH EMPHYSEMA

PNEUMOTHORAX , HILARLYMPHADENOPATH SEEN CT THORAX SUGGESTAT FOR FURTHER EVALUATION.

Tubular lung,s/o hyperinflation cx emphysema cx COAD,r/o MDR,sputum for afb,hrct chest also

Copd, emphysema Need for investigation Propped up postion O2 inhalations with low conc (2-3/L min) Nebulization with (ipratropium bromide+salbutamol stat and 6hr

Bilateral hyperinflated lung fields.copd/emphysema.prominent bvm's.adv 2d echo and cect thorax.

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