A 24 year old male presented with fever, pleuritic chest pain on the right and a dry cough. Give your views.

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Thick walled cavitery lesion with fluid level at RMZ with surrounding homogenous opacification. Right hilar shadow is congested. Pleural reaction RMZ. Lung Abscess. Advised CBC, Glycemic status assessment, Sputum for AFB and CBNAAT. Initiate treatment with Broad Spectrum Antibiotics ( for Gram+ and Gram- ) for 20days. Repeat same profile after 20days and moderate accordingly.

Thank you sir
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Lung abscess right lower lobe.

Thank you sir
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Thick walled cavity with fluid level in superior segment of rt lower lobe 1.Lung abscess . 2.Tb cavity with secondary infection. CT thorax to look for the size , any satellite lesions and to rule out bronchial obstruction . sputum c/s , sputum AFB and genexpert Empirical broad spectrum antibiotic + anaerobic coverage for 10days parenteral and then assess .

My opinion is same as ofDrAjith ji. Congratulations
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right lower zone thick walled cavity with air fluid level; induce sputum and send for gene xpert

Thanks mam
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RT lower zone air fluid level.suggestive of lung abscess. Any history of vomitings , aspiration or epileptic episodes? CT chest to assess the localisation, sputum inv. Start on anribiorics with gram positive , neg and anaerobic coverage

Thanks mam
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Lung Abscess Rt lower lobe.

Thank you sir
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Trachea central / l lung normal lung fi of / r lung fluid level / lung abscess / do sputum afb esr if ptb treat / dd staphylococcal abscess/ rmlobe

Iv a biotics flucloxacillin 500 mgs qid x 10 days
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Lung abcess right lower lobe.

right lower zone cavity with air fluid level

Lung abscess right middle zone with consolidation .clindamycin and augmentin

Thank u mam
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Lung Abscess