A male with Refractory Cough

A male aged 45 years Chief Complaints Refractory Cough Wt loss Anorexia Fever (on/off) (x 20 days) Physical Examination Resp - Occ rhonchi (+)

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C O P D Emphysema Right parahilar infiltration Chronic Bronchitis R/O tuberculosis

Hyperinflation Rt paracardiac haziness seen. Evaluate considering PTB/malignancy.

Should have to go for HRCT for neoplastic aetiology

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