ATT Defaulter

A male aged 44 years was diagnosed as Pulm Koch's started ATT in february 2021 and left after 1 month after improving Chief Complaints Multiple episodes of Hemoptysis Chest pain Dyspnea (x 15 days) Physical Examination Resp - b/l rhonchi Crackles in left hemithorax Investigations Xray Management How to proceedfor this case

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Rt sided hyperinflation with soft nodular opacities seen. Left sided diffuse parenchymal densed multinodular opacities seen. Lt apical and parahilar thick walled fibrocavitatory lesions seen. Dual left heart border seen. Possibly lower lobar collapse. Adv HRCT thorax and bronchoscopic lavage.

Thank you doctor
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Heavy reticulonodular infiltration in entire left hemithorax is suggestive of relapse of Pulmonary Tuberculosis It is essential to know drug sensitivity status of Tuberculosis in this case Adv Sputum for Tuberculosis culture and sensitivity

Thank you doctor
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Indeed a fibrochechiatic cavity lesion seen in Lt apical zone Lt lower zone suggest infiltrates with haziness Rt lung is hyperinflated Pulmonary tuberculosis with sequelae Likely MDR Adv CBNNAT Hrct Restart ATT or keep him on DOT I will like to add Tab Levofloxacine 750mg od with strict warning and counseling

Thanx dr Sandeep Ghodekar
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Chest X-RAY show's right middle haziness and left side fully haziness. Suggest Hemithorax, relapse of pulmonary tuberculosis. Needs HRCT THORAX and COVID 19 with RTPCR.

Thank you Sir@Dr. Sandeep Ghodekar .
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CHEST X-RAY S/O HAZZINESS IN RIGHT MIDDLE ZONE AND COMPLETE HAZZINESS ON LEFT SIDE,,,WHICH IS INDICATING HEMITHORAX,,,DUE TO RELAPSE OF ATT. DO,,, SPUTUM FOR AFB,,C/S,,,,HRCT THORAX,,, COVID-19 RT-PCR

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