90M K/c/o COPD, HTN, Old CVA presented with breathlessness, productive cough since 4days. H/o fever+. COMMENT ON CXR

3 Likes

LikeAnswersShare

Radiologically the lesion looks more of reticular than milliary.. Incidently there is a possibility of bulla in the left lower chest.. Shadows are more dense in the right lower lung with area of patchy consolidation.. ..clinical findings pulse oximetry etc are needed to proceed further.. Possibilities.. Hypersensitive pneumonitis.. Interstitial pneumonia.. HRCT thorax should be done to delineate the exact nature of the lesion..

DIVERSION OF BLOOD TOWARDS APICES PRESENCE OF KERLEY B LINES RETICULAR TYPE PATTERN THIS IS A CASE OF NONCARDIAC INTERSTITIAL PULMONARY EDEMA WITH COPD WITH B/ L BULLA AT BASES. ADV. HRCT

bilateral reticulonodular opacities predominantly reticular involving upper and Mid zones predominantly with few in lower zones with? blunting of Rt cp angle. D/D's hypersensitivity pneumonitis, pneumoconiosis, sarcoidosis, eosinophilic granuloma

Bilateral reticulonodular infiltration bilaterally . There are emphisematos bullae bilaterally. Chronic o. p d. DD PTb pneumoconiosis sarcoidosis. Eosinophillic granuloma.Do HRCT lung.

rule out pulmonary tuberculosis check family / contact history bcg scar mark cbc tuberculin test afb sputum analusis esr.

Hyperinflated lung fields suggestive of copd, prominent aortic knuckle, prominent bronchovascular markings, calcified left hilar lymph node(previous tb lymphnode), now a miliary picture.

Chest X-ray showing b/l diffuse miliary shadows with b/L fibrotic bands. B/L hilar prominence R>L. DDs:Miliary Pulmonary Koch.

copd. marked kerly B line. exclude ptb

Looks like miliary TB and pulmonary edema right heart failure

Load more answers