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32/m complaints of breathlessness,cough,chest pain.he is known diabetic and taking 40 u inj insulin R BD.kindly comment on cxr and management

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Hyperinflation Dextrocardia/ mediastinal pull towards right mimiking dextrocardia. Bil cystic bronchiectasis seen. PTB sequelae/ kartageners syndrome.
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Pt is diabetic Given xray chest shows fibrochachiatic lesions rt basal and paracardiac region Lesions are also seen lt upper zone Should be evaluated Likely pulmonary tuberculosis Broncheictesis
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POSSIBLY PNEUMONIA DD PULMONARY KOCH'S BRONCHIECTASIS NEEDS. FURTHER EVALUATION USG...CHEST
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Hyperinflation Dextrocardia/ mediastinal pull towards right mimiking dextrocardia. Bil cystic bronchiectasis seen. PTB sequelae/ kartageners syndrome.
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? Mediastinal shift to right ? DEXTROCARDIA Left lung compensatory hypertrophy Left upper zone shows cystic spaces with fibrobronciectatic changes . Right lung base ,and para cardiac cystic lesions seen . ? Bilateral PT,Cystic Bronchiectasis.? Kartageners HRCT, Sputum for AFB and CBNATT
Bilateral fibrocavity lesions left apical and rt mid and basal region Rt lung volume reduced PTB sequele Rule out active TB
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Fibrocavitatory lesions involving the right paracardiac and basal region and left upper zone.could be post Koch's sequelae.
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B/l lung bronchiectasis with encysted pneumothorax in lt lung lower zone..
Pul. TB Kochs sequel Copd em0hysema Pneumothorax Beonchiectasis Adv CBNAAT
Pulmonary Koch's sequele Multiple cavities seen in both lungs
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PTB Sequel Ad CBNAAT Sputum exam
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