70yrs old female presented with intermittent low grade fever with loss of appetite, cough, mild breathing difficulty for few weeks

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Partiality calcified liver hydatid cyst with intracystic air and right pleural effusion, suggesting superinfection and rupture into the thoracic cavity.

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Usg abdomen s/o large hypoechoic area in liver ?hydatid cyst CT thorax s/o rt middle lobe pneumonitis with mediatinal lymphadenopathy Patiets is improving on antibiotic for pneumonia and albendazole for hydatid Sputum not done

Nice case sir. Plz upload CT thorax images as well. Regards!
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There are 2 cavities in the lower right lung with surrounding infiltration/haziness.the upper one has some thing inside probably aspergillosis or abscess Also there is a large calcified mass in the liver(?hydatid cyst)

The symptoms of pt is likely of pulmonary Koch's Some investigations needed like Sputum AFB routine n microscopic Sputum gene xpert AFB culture n sensitivity HRCT chest Medications Tab AKT 4 1---2------1

HEPATIC..... CACIFIED. HYDATID. CYST RT. SIDED.... .... CAVITIES... WITH. FLUID. LEVELS... PNEUMONITIS

Multiple cavitory lesions rt lz Rule out active infections Antimicrobials according to culture n tb pcr

Thank you doctor
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Thick walled cavitatotry lesions rt lz. Calcified lesion liver. Hydatid should be in differentials

Calcified hepatic hydatid cyst. Pneumonitis with cavities with fluid levels right lower lung.

Fibricavitary lesions Right bases. R/o PTB. ESR,MTX,SPUTUM AFB etc.

Wht abt calcified big lesion below rt hemidiaphragm?
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Dx.tuberculosis. Rx.pertusis -200.

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