A chronic Smoker with ? Lung mass on Xray

A male aged 56 years who is a chronic Smoker since 25 years p/w Pain Chest and Hemoptysis on/off since 2 weeks.... Physical Examination Diffuse Rhonchi in b/l lung fields Investigations Lets discuss the findings of Xray Chest and further treatment options

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Soft Inhomogenous opacities with nodular infiltration with in seen in bil mid zones. Needs to evaluate for Infective vs neoplastic etiology. Adv CECT thorax and sputum/ BAL examination to conclude.

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Chest x Ray show's that bronchus. and middle lobe of lungs full of sputum or heziness. CBC, CRP, SPUTUM AFB, MONTOUX TEST ESSENTIAL.

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CXR..STUDY.. BL.. INFILTRATIONS.. ? PTB.. NEED'S.. HRCT.. HPE.. HEMOGRAM.. SPUTUM STUDY..

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May be carcinoma... Go for HRCT ...and then biopsy..

I agree with Dr Sandeep ghodekar

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