Concluded Case

Pulmonary fibrosis?

Male 60 years, nonDM, came with h/o- cough with expectoration and dusk EA since 2 months. Recurrent symptoms for last 2 years. Had taken full course of AKT. Sputum - normal. Hemogram - non significant. X-Ray chest and CT scan thorax as under. What is diagnosis and Treatment Plan?

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Concluded answer
Rt apical fibrotic lesion with few bronchiectatic lesions seen. Tracheal deviation towards right. Changes of COPD emphysema seen. Rt Hilum is pulled up. COPD emphysema with PTB sequelae. Evaluate and treat for COPD, Koch's relapse/ superadded infections.
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There is total destruction of right upper lobe It has caused fibrocavitatory changes in right upper lobe This has caused deviation of trachea to right side There are significant bronchiectatic changes in right upper lobe, perhaps that is the cause of repeated cough Plan To do sputum for AFB and sputum for gene Xpert, to rule out active tuberculosis Right upper lobectomy to be considered in view of long term symptoms
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Cavitory lesion in rt apex with nodular infiltrates Fibrotic scars rt upper zone Dense shadow along rt mediastinum with segmental collapse Haziness rt basal area Scaring in lt upper zone Findings are suggestive of pulmonary tuberculosis with sequele Likely MDR
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Rt apical fibrotic lesion with few bronchiectatic lesions seen. Tracheal deviation towards right. Changes of COPD emphysema seen. Rt Hilum is pulled up. COPD emphysema with PTB sequelae. Evaluate and treat for COPD, Koch's relapse/ superadded infections.
Thank you doctor
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Trachea deviated towards rt side Rt apical fibrocavity lesions Rt opaque region along paratracheal and paracardiac region Tubular heart Lt lung hyperinflated PTB sequele with? Reactivation rt COPD Emphysema Sputum analysis
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COPD/ EMPHYSEMA PTB SEQUALE
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Emphysema COPD PTB Sequlae
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Right upper lobe collapse, fibrobronchictatic and cavitatory lesions Right midzone fibro bronchiectatic lesions Diffuse bilateral fibro nodular and reticular infiltrations PT ? Reactivation, ? MDRTB, ? HIV ,
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
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Rt apical fibrotic lesion Bilateral mid ll fibroretucular infiltration Mediastinal shift to rt Pulled up rt hilum ILD PTB SEQUEL
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Rt apical fibrotic lesion trachea shifted lt midiastinum wide tree bird appearance pft cbnat then decide
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