Concluded Case

CA lung with Canon balls.

67 yrs, old male presented with progressive dyspnea and cough since last one year. had 3 episodes of hemoptysis during this period. Had pleural effusion and tapped in aug 2019. details not available on admission. HR 140/min BP 140/70mmhg spo2 92 %on room air. RS tachypnea, RR 26/min Bil coarse crepts and wheezing heard. CVS s1s2+ tachycardia CNS NAD. Hb 8 WBC 14300 N 76% plt 120000 creat 1.3 BSL 140 k+ 4.5 Na 136 RV neg. his other reports are attached. kindly comment.

(Edited)

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Concluded answer

Thanks all for opinions. Rt sided inhomogenous opacities with mass lesion and minimal pleural effusion seen. Mediastinal lymphadenopathy seen. Left sided Canon balls are noted. Findings sugg of CA lung.

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67 yr old male with h/o Hemoptysis and cough....Pleural effusion... Right lung collapse can be appreciated easily and looks like chronic disease like Tuberculosis....rule out TB by doing CBNAAT on Sputum , ESR, Maonteux etc

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Thanks all for opinions. Rt sided inhomogenous opacities with mass lesion and minimal pleural effusion seen. Mediastinal lymphadenopathy seen. Left sided Canon balls are noted. Findings sugg of CA lung.

History pleural tapping earlier Trachea is shifted to rt Loss of lung volume rt side Dome is straightened Rt cp angle obscured Fibrochachiatic lesions all over lung fields Rt lower fissural thickening Lt side lung hyperinflated Fibrochachiatic lesions lt lower zone Unfolding of aorta with kunckle is calcified Mediastinum is dilated in mid zone Rt hilar lymphadenopathy Findings suggest pleurisy rt side with fibrosis Old c/o pulmonary tuberculosis with sequele and COPD

Thanx dr Dinesh Gupta
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PTB CHronic Pulmonary tuberculosis disease Pleural effusion pushing heart to left side Bilateral fibrotic strand with pleural thickening Left side lung hyperinflated Right hilar lymphodenopathy

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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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Bil Hyperinflated Lungs, Tracheal shift to right Bil diffuse fibronodular and reticular infiltrations Rt dome elevated, Rt hilum pulled up, Rt lung volume loss 2nd picture shows Rt pleural effusion, and fissural thickening COPD, emphysema, Old PT sequel, ? Reactivation ECG, shows Sinus tachycardia, rate related STT changes Suggest ECHO , sputum FOR AFB AND CBNATT

Thank you, Doctor
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PTB B/L fibrotic strands with pleural thickening and inflitration seen. Pleural effusion pushing heart to lt side. Needs further investigations and evaluation to conclude and treatment plan.

Thanks Dr Basavaraj Dodamani
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SUGGESTIVE OF.. RT. SIDED... PLEURAL EFFUSION WITH B / L..... .. INFILTRATIONS THICKENED. PLEURA SOFT. FIBROTIC. STRANDS POSSIBLY.... MALIGNANCY... ADVISABLE.... ALL. RELEVANT. INVESTIGATIONS

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Rt lung fields are infiltratedand fibrosis with pleural effusion pushing heart to left side. T. b. With sequele. Should be investigated for XDR T. B.

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Plain chest radiograph shows Rt side lung field not clear infiltration seen and shows fibrosis cusing marked deviation of tratchea to rt side , heart shadow pushed towards right along with fibrosis, moderate pleural effusion ( Cresent sign ) seen. CT report shows same findings in details ECG QRS normal, following each P Increase heart rate Tells sinus tachycardia May be because pleural effusion Inv To confirm TB

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