Chronic Smoker Female

40 pack year smoking history c/o Breathlessness & Cough Physical Examination Resp - decrease air entry b/l

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CXR..STUDY.. ? PLURAL EFFUSION.. NEED'S.. HRCT THORAX.. PLURAL FLUID ANALYSIS..

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Lt apical round shadow Both basal effusion or blunting of angle Hrct Cbnat Usg if more then100 cc tapping cbnat Kochs dd malignancy dd fungal ball

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C O P D Lt apex hazy Rt paratracheal opacity ? Lt side Apical mass Ad spirometery HRCT thorax

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