Concluded Case

a 86 years old female with breathlessness. please comment

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Concluded answer

Bil diffuse parenchymal reticulonoduler shadows seen. Bil mid basal bronchiectatic lesions seen. Tracheal deviation towards right. Aortic knuckle calcification. Possibly ILD with post PTB sequelae.

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Discrete fibroretucular infiltration bilateraly Bilateral basal nodular infiltration Tracheal deviation to rt D/d COPD EMPHYSEMA Wth ILD Tuberculosis Malignancy

Emphysematous chest Trachea is pulled to rt Reticular fibrosis bilateral Rt cp angle is obscured Discreet fibronodular infiltrates D/d copd with pulmonary tuberculosis 2 malignancy

Thanx dr Jatin Garg
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Old age ,probably ,bilateral aspiration basal brochopneumonia is to be ruled out .Look for systemic illness and co-morbidity related aspiration pneumonia. Rule out diabetes.

SIGGESTIVE. OF BRONCHIECTASIS WITH CARDIOMEGALY ADVISABLE... C T. SCANNING / USG ROUTINE. INVESTIGATIONS

Bronchiactasis /malignancy/ millary tuberculosis with fibrosis

Thanx
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Trachea shifted to Rt & pulled upwards Diffuse reticulonodular infiltration both lungs R>L Diaphragm is pulled upwards probably due to ascites B/L lower zone heziness ? Ca lung ? Aspergillosis

Brinchiectesis@

Bronciectesis

Tracheal shift to right Tracheal and aortic knuckle calcification Left lung fissural thickening Cystic and fibronodular and bronchiectatic changes seen in both bases and midzone Cardiomegaly Suggest ECHO ,HRCT , ABG

Old bronchectesis pl effusion rt
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Do a sputum study, widely spread opacities. Sputum for Malignant cells, Stain and Culture. Any fever? TLC? Any indicator towards malignancy??

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