A25 yr male pt c/o chest pain at rt medial side below the clavicle since 2 yr, cough since 5 days with low amount of sputum which is white in colour, low grade fever at evening and morning, pt feel breathlessness ever on rest condition also, O/E no lymphdinopathy, no swelling over the chest, but tenderness is present, bp -122/80, R/R 16bpm, on ascultation no abnarmal.sound is prsnt, on investigation the result is following and attached. Plz suggest dd, dx, tmt,.

2 Likes

LikeAnswersShare

Underexposed , rotated film. Rt hila is prominent with increased lung volume. Pain chest can be due to costochondritis or due to acute bronchitis or due to bronchogenic carcinoma. Cough with mucoid sputum of short duration favours coryza , esonophilia. Unilateral hilar lymphnode favours pul tuberculosis or bronchogenic carcinoma. Dx costochondritis with coryza Inv cect chest , CBC , ESR IgE T/t Azithromycin 500 mg once daily for 6 days Romilast 10 mg daily for a month

bilateral adenopathy with miliary shadow mainly peribronchial region do Mantoux ESR Ace HRCT chest FOB BAL for AFB DD TB SARCOIDOSIS

there is prominent hilar lymph node on rt side, as the symptoms are of only 5 days duration, first treat with tab Amoxy clav, and symptomatic.. do CBC, ESR. repeat sputum if symptoms persists aftr 15 days along with HRCT thorax to rule out pulmonary koch's.

Bilateral hilar lymph adenopathy CT thorax/ sputum analysis Rule out TB

Cavities seen left middle lobe, it's pulmonary koch's, advised AKT.

Lt para hilar opacity do cbnat hrct expiratory films Mt

bil.hilar lymphadenopathy R>L ? Kochs infiltration R upper zone do hrct chest, cbc,esr

CXR PAV SHOWS INFILTRATION B/LUZ MORE ON RT. REPEAT SPUTUM FOR AFB AND ADVISE FOR MX TEST, CBC WITH ESR, SERUM ADA AND CECT THORAX

overexposed film. ?hilar adenopathy

kindly repeat the cxr with proper exposure. there is rotation present in this film and it is also overexposed.

Load more answers

Cases that would interest you