62 y male C/o severe dysnea since two hours Known case of COPD / DM/HTN Interpret CXR and give differential diagnosis . On arrival BP-180/110 Pulse -136 RR - 34 ABG - WNL

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Scoliosis convexity towards left,bil diffuse parenchymal reticulonoduler pattern seen. Bronchiectasis at rt apical mid zone and left lower zone.left sided rib crowding. Rt sided Emphysema could be a cause of pneumothorax and acute severe dyspnea.rt sided icd in situ.

Scoliotic deformity of Spine B/l extensive Reticulonodular pattern with Honeycombing/Cystic changes... ILD with acute Pneumothorax probably due to damaged lung tissue... Urgent ICU admission

Keep in mind cardiac oedema slso
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Scoliosis with Bil reticulonodular pattern suggestive of ILD with pneumothorax Rt , ICD in situ , control hypertension

As per my mind..sir ur answer is most appropriate up to now
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RT pneumothorax with icd in situ Looks like ILD picture Worsened by pneumothorax or superseded infection likely Still do 2d echo and ABG

Pneumothorax right side,icd in situ... scoliosis with crowding of ribs...needs hrct....

Scoliosis with crowding of ribs with ICD in situ

Scoliotic spine with multiple thoracic disorder, Immediate and continuous supervision under ICU admission

Trachea deviated to Rt . Military mottling seen over both Lung fields. Cupola at same level . Cavity lower zone L.

Scoliosis with hyperinflated lungs with left LZ consolidation

Rt side icd insitu with reticulonodular pattern scoliosis to left side

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