Cough & SOB

Chief Complaint A 65-year-old female presented with non-productive cough & SOB for 1 month & fever for 5 days. History She has h/o GERD & DM. Vitals BP: 150/90 mmhg, HR: 98 bpm, Resp rate: 26 bpm, Temp 100° F. Examination She looks little pale, right sided lung field diminished anteriorly. ECG normal. No lymphadenopathy. Investigations Chest x ray shows right sided consolidation without volume loss. CT shows endobronchial lesion in right upper lobe bronchus. Treatment What is your opinion on this case?

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Endobronchial lesions in hrct and pt is diabetic History suggest low grade fever with nonproductive cough and sob D/d 1 badenocarcinoma bronchus 2 tubercular

Thanx dr Dinesh Gupta
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As CT shows endo- bronchial lesion in right upper lobe bronchus and Chest X - ray shows right sided consolidation with out volume loss - most likely Diagnosis is Primary Carcinoma of lung . D/D is pulmonary tuberculosis.. A bronchoscopic biopsy is is indicated to confirm the diagnosis and proceed to further line of treatment

Bronchoscopic biopsy HPE to rule out PTB malignancy.

Bronchogenic mass with consolidation collapse ? Obstructive

POSSIBLY MALIGNANCY DD ..P. TB NEEDS. FURTHER. EVALUATION

Diseases Related to Discussion

Tuberculosis
Pulmonary Tuberculosis
Adenocarcinoma