45 year old female patient no comorbidities,cough with foul smelling expectoration,haemoptysis,chest pain,weight loss,low grade fever..has taken akt for 2 months with no improvement...spo2-98%@room air,bp-90/60mmhg; interpret

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Possibly a tuberculous abscess Suggest: Fluid resuscitation Broad spectrum antibiotic with Gram positive coverage IV Metro 500mgs IV/8th hrly Consider IV Fluconazole Chest secretions for Gram stain and c/s Sputum for AFB BT CT PT LFTs CBC RFTs Viral markers Routine labs Cardiothoracic opinion if drainage indicated
Right mid zone cavity with history of cough expectoration n chest pain with weight loss....probably Tuberculer but also do rule out Fungal , bacterial n malignant componenta
Cavitary lesions in the Rt lung. May be CA lung. Lung Metastasis, autoimmune disease, lung abscess, infections bacterial / fungal, PTB, congenial malformations of lung etc
CAVITY LESION RT MID ZONE LUNG ABSESS ( R) TUBERCULSIS TO BE EXCLUDED BLOOD SUGAR ,HIV AB SPTUM C&S AFB AFB C&S
There is lesion in rt mid zone with infiltrates d/d gram -ve klebsila or L pneumonae pneumonitis 2 pultb with sec inf.
Thanx dr Chandramouli M
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RT MZ Cavitary leasion Maybe.. ? Lung abscess ?PTB ? Lung metastasis Clinicopathological evaluation will be useful
Thanks Dr Vedhprakash Sharma
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Differential diagnosis : hydatid cyst or lung abscess mostly of tubercular etiology
Agreed with Dr Sandeep Water Lilly sign + Hydatid cyst
Water-lilly sign , hydatid cyst is likely diagnosis...
Yes sir The outline of cav ity is not made by lung tissue..so to me it is expectorated out hydatid cyst .......in orher cavities the outline is made by normal lung tissue . Other cavities are not so round except hydatid
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Diffuse patchy Koch's infiltration R>L c fibrocavitary lesion RMZ c Rt perihilar calcification.CBNAAT & Sputum AFB suggested
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