Concluded Case

COPD with bronchial asthma.

A male pt has shortness of breath since more than 10yrs.xray chest pa view is attached.

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Concluded answer

COPd emphysematous lungs Opacities or fibronodular opacities present in bilateral apical sides Get Hrct chest for confirm

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Trachea seems to shifted to left, Rt.sided thoracic scoliosis , mediastinum central ,tubular Seems to b lvh Rt sided overcrowding of ribs Costophrenic angles b/l clear Domes of diaphragm b/l normal No prominent hilar shadows & b v markings Lung parenchyma not clear in this x ray plate. A case of ? COPD with thoracic scoliosis , ......cause ?

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Sir xray are not clearly seen as it is overexposed and expiratory film Rt apex suspicious opacity is likely a malignancy we need to review the case

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COPd emphysematous lungs Opacities or fibronodular opacities present in bilateral apical sides Get Hrct chest for confirm

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X ray film not clear Fibrotic changes seen at bil upper lobes Hyperinflated lungs Tubular heart S/O COPD

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Copd Tubular heart Calcified lesion in rt upper& lt para hilar region cbnat Hrct 2 decho

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CXR.. COPD.. EMPHYSEMATUS LUNGS.. TUBULAR HEART.. NEED'S.. HRCT.. 2D ECHO STUDY..

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COPD Tubular Heart Ad 2Decho

Hydro pneumothorax Lt

Kali bi creatagus Mt