A smoker with Cachexia

A male aged 40 years who is a chronic bidi smoker Chief Complaints Dry Cough Fever (on/off) Anorexia (x 1 month) Physical Examination Crepitations in left infra-axillary & infra- scapular region

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Rt sided infiltrations seen. Left sided fibrobronchiectatic lesions Pleural fibrosis with volume loss. Mediastinal shift towards ipsilateral side. Findings sugg of PTB sequelae

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Loss of lung volume on lt side as lt lower zone shows homogeneous opacity extending along with chestwall Lt upper zone shows fibrochachiatic lesions Rt side chest is hyperinflated with prominent bronchovascular markings and rt dome is straightened and pulled up Likely malignancy lung lt side D/d pulmonary tuberculosis with sequele

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Total lung destruction of left lung with compensatory emphysema on rt side with rt lower lobe fibrosis,adv HRCT chest,give high flow oxygen

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Lft lung collapsef

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