A 22 yr old female c/o fever high grade since 2 months dry cough since 20 days She has undergone gingival growth exicison in dental dept 1 1/2 yr back, recurrent gingival hyperplasia invesigated 3 months back , biopsy showed ulcerative pyogenic granuloma No Att history, allergic hist, usage of inhalers, DM, HTN No significant family history Vitals normal since day of admission spo2 97% on room air On auscultation there was diffuse wheeze on day of admission but now controlled, occasional crepitations present Investigations as follows, interpret

4 Likes

LikeAnswersShare

There is infiltration of right lower lobe, likely related to aspiration and poor oral hygiene. Pneumonitis in state of resolution.

thanku sir
0

planning for bronchoscopy and we are suspecting vasculitis too; so vasculitis package has been sent

That's nice. Actually missed Vasculitis.
0

Circular lesion r lower lobe fuzzy margins looks like a staph abscess / rx floclixacillin 500 mgs qid x 10 days may need iv a biotics re X-ray for resolution in 1 week

thanku
1

Organizing pneumonia/aspiration pneumonia (assuming biopsy is correct and showing benign lesion)

Aspiration unilateral ??? Concious patient aspiration ???
0

View 2 other replies

A well defined mass is seen inrt lower lobe with irregular margins . Ca lung!

thanku sir
0

Look like Rt lower zone consolidation Infective pathology

?CA LUNG

thanku
0

Maam as mentioned above its infective consolidation most likely vs malignancy FOB is the best way forward

Malignancy or consolidation

thanku
0

Rtid zone consolidation,poor oral hygeine,aspiration

thanku
0
Load more answers