A70 Y F having cough since 20 days with fever her report are as follow what is dignosis

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There is heterogeneous opacity rt lower zone with leukocytosis suggest pneumonitis rt lower lobe Rx broadspectrum antibiotics iv as well as orally Send sputum for analysis Keep on rx for 10 t0 15 days and review

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Leucocytosis Eosinophilia. Rt mid and basal heziness seen likely Infective focus. Sugg sputum examination and AEC. Till then continue antibiotics bronchodilators mucolytics nutrition physiotherapy oxygen.

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Hyperinflated lungs , Flat diaphragm domes Fibrocasseous and nodular opacities in right apical , midzone,base and left base . Consider BIL PT . Bronchopneumonia in a immune compromised individual

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Pneumonitis Right Lower Lobe Do Sputum Culture, AFB Treat with Antibiotics, Nebulisation, Bronchodilators if Not settled do. HRCT

Pneumonitis right lower lobe.

Heterogenous opacity in right lung Bronchovascular markings prominent Elevated tlc ( infective pathology) Raised esr ( underlying inflammation) Increased eosinophills ( allergic) Ist ddx would be pneumonia and pneumonitis History of old pulmonary kochs should be asked Investigation = 1.Sputum examination especially for AFB 2.Blood culture 3. Absolute eosinophill counts 4. HRCT chest ( only if concomitant hemoptysis present, to rule out malignancy in old age) Treatment Broad spectrum antibiotics Antiallergics Inhaler ( long acting bronchodilator plus corticosteroid) Cough syrup ( mucolytic and bronchodilator) Steam inhalation Drink hot water ( liquids) Follow up after a week

Heterognous opacity in right middle lobe with rib crowding and shoulders dropping with compensatory emphysematous changes in left lung Suggestive of fibrosis of left lung Inv- first rule of ptb Cect chest Treatment - give higher antibiotics Nebulization with ipratropium and asthalin

Cxr showing middle lung lobe opacity pneumonia raised wbc eosinophil count give broad spectrum antibiotics and antiallergenic

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Rt apical region hazy Infiltration in the mid zone rt side Mild infilt lt side of lung Adv CT thoax Sputum for AFB

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RT midzone pneumonitis

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