Chest pain with hemoptysis!

Chief complaint A 35 y/o male presents with mild Chest pain for 1 week, hemoptysis for 4 days and fever and body ache for 10 days. History He has h/o sinusitis. No other past medical history. Family history includes father diagnosed with lung cancer at the age of 65 years. No use of tobacco but drinks alcohol occasionally. Vitals Vitals are stable. Investigations The chest xray shows a right upper lobe infiltrate and hilar adenopathy. CT thorax shows ill-defined infiltrates and increased interstitial markings Treatment What do you think could be the diagnosis and how to manage it?

1 Like

LikeAnswersShare

? PULMONARY KOCH'S.. ? LUNGS DISEASE.. ? TUMOR.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. BRONCHOSCOPY.. CT..GUIDED HPE..STUDY..

Tnx Dr Sandeep Ghodekar sir
0

View 1 other reply

1st possibility is Koch's. Infective and inflammatory process may cause hemoptysis. Also keep PAE in mind. Needs evaluation accordingly.

Pulmonary Koch's. Pulmonary tumor.. Pulmonary Embolism. Bronchoscopy would be help ful.

Tumor and tuberculosis

POSSIBLY P. TB ADVISABLE RULE. OUT MALIGNANT CHANGES

snehan swedan basti RX punarnava churn bd gokshur churn bd

CT guided biopsy Bronchoscopy

Pulmonary Koch.?lung disease. Broncho scopy..

Might be pulmonary koch’s or pulmonary embolism

Pulmonary TB is highly likely

Diseases Related to Discussion