Concluded Case

copd case with multiple cavitary lesion on both lungs

58 years old male with fever , cough and sob. On examination bilateral rhonki present.. chest x ray is attached

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ct scan with iv contrast shows copd changes with multiple cavitary lesions

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Changes of COPD emphysema seen. Bil basal fibrobronchiectatic and cavitary lesions seen. Possibly lower lung field PTB. Adv CECT thorax and sputum examination.

Multiple cavitatory lesions on both lung field Differential diagnosis Tuberculosis Bacterial abscess Fungal infections Aspergillus infection Atypical mycobacterium Infection Malignancy Granulomatosis such as wegeners granulomatosis ADV HRCT CHEST

Well defined cavitory lesions are seen bilaterally in lower zones Pulmonary tuberculosis

Thanx dr Ashok Leel
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PTB Malignancy. Needs further investigation and evaluation to conclude and line of treatment. Go for covid 19 test under present circumstances to rule out any eventuality.

Thanks Dr Shivraj Agarwal
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SUGGESTIVE OF COPD EMPHYSEMA FIBROBRONCHIECTASIS POSSIBLY P. TB DD FUNGAL INFECTION ADVISABLE.. C T. SCAN RULE. OUT MALIGNANCY

X ray reveals .lt lung has multiple fibro cystic lesions Rt lung has a cystic lesion.at the base.looks like infective lesions pl get his sputum for culture sensitivity. Afb.Tridot test to rule out HIV.& not the least Covid too.hrct chest is also advised

Right basal cavity Left upper zone and midzone cavities Left paracardiac infiltrations DD PT , MDR TB Fungal cavities - aspergillosis, Malignancy Suggest Sputum for AFB and CBNATT and cytology and fungus CT Bronchoscopy and lavage

B/l lower lobe hazziness may be pneumonitis,give reclav 625 mg tds,tb doxovent 400 mg bd

Many Cavitatory lesion present in both lungs. Get HRCT chest for confirm Koch's Aspergillosis Fungal infection

ct scan with iv contrast shows copd changes with multiple cavitary lesions

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