A 65 years old female patient presented to surgical OPD with acute cholecystitis with cholelithiasis. X-RAY chest showed this leison which is an incidental finding. Diagnosis?

3 Likes

LikeAnswersShare

Agree with @Dr. Mayuri Johari . Nicely described the incidental findings on CXR, in a patient with acute cholecystitis presented to Surgical OPD.

Chest X-ray shows bilateral reticulonodular shadows..may represent miliary tb, sarcoidosis, mets or ild Assess the profession, send sputum for Afb and gene xpert, patient requires cect chest followed by bronchoscopy with tblb for diagnosis

DO CBC, ,ESR, ,SPUTUM FR AFB &ZN STAIN, ,HIV-1,2, ,ANA, ,,TAKE COMPLETE HISTORY ABOUT FEVER, ,WT LOSS, ,LOSS OF APPETITE, ,COUGH WITH BLOOD STAINED SPUTUM? ?F/H/O KOCH'S? ??,,HOARSENESS OF VOICE, ,DIFFICULTY IN EATING OR SWALLOWING? ?ANY LYMPH NODES PALPABLE? ?CORRELATE CLINICALLY, ,,IF REPORTS SHOWS INFILTRATION OR CONSOLIDATION,,OR AFB +VE START AKT, ,FR MORE SPECIFIC GO FR HRCT CHEST, ,TB MGIT, ,PCR FR MDR TB, ,,CHEST PHYSICIAN'S OPINIOB

Only two possiblities either military tuberculosis which is more likely or Interstitial lung disease

Agree with Dr. Shaikh. Alveolar microlithiasis There is numerous micro nodules on both lung field with nearly bone density ie they are most likely calciferites. There is no respiratory symptom and this is an incidental finding. This makes miliary TB, sarcoidosis or TPE very unlikely. However sputum AFB to rule out TB. And 2ndaries to exclude also.

Alveolar microlithiasis

Agree with @Dr. Mayuri Johari madam.

Interstitial lung disease.

Miliary TB ?ILD

Miliary tuberculosis

Load more answers