A 65 years old female patient presented to surgical OPD with acute cholecystitis with cholelithiasis. X-RAY chest showed this leison which is an incidental finding. Diagnosis?

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Agree with @Dr. Mayuri Johari . Nicely described the incidental findings on CXR, in a patient with acute cholecystitis presented to Surgical OPD.
Chest X-ray shows bilateral reticulonodular shadows..may represent miliary tb, sarcoidosis, mets or ild Assess the profession, send sputum for Afb and gene xpert, patient requires cect chest followed by bronchoscopy with tblb for diagnosis
D/D miliary TB or ILD.Adv sputum for AFB. If report neg then Genexpert & HRCT CHEST
@B/L LUNG FIELD SHOWS FOBRONODILAR PATTERN ! ILD BL LUMG GIWLD SJOW
Agree with @Dr. Mayuri Johari madam.
Reticlar opaciitites with cystic spaces looks like ILD
Kindly post hrct picture
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Alveolar microlithiasis
sarcoidosis??MTB?
Chronic bronchitis converted into sacoidosis,in these type of cases ayurved cum homoeopathy is more effective immediately beselinum 50 M 2dose only a day,5days gap then bapticia 50 M 2 dose should be given side by side yog of ayurved may follow as bellow ---mahamrigank ras swarn yukt 5gm+mahalaxmi vilas ras swarn yukt 5gm+ mallsindoor 2gm+rajat sindoor 2gm+ prawal pishthi10 gm+talisadichurn50gm make 30 pudina morning evening 1-1pudia with honey empty stomach must be taken, kada twice in a day should be taken as bellow vasaka leaf+tulsi patra+bhatkatiya panchang+lakadi singhi.
DO CBC, ,ESR, ,SPUTUM FR AFB &ZN STAIN, ,HIV-1,2, ,ANA, ,,TAKE COMPLETE HISTORY ABOUT FEVER, ,WT LOSS, ,LOSS OF APPETITE, ,COUGH WITH BLOOD STAINED SPUTUM? ?F/H/O KOCH'S? ??,,HOARSENESS OF VOICE, ,DIFFICULTY IN EATING OR SWALLOWING? ?ANY LYMPH NODES PALPABLE? ?CORRELATE CLINICALLY, ,,IF REPORTS SHOWS INFILTRATION OR CONSOLIDATION,,OR AFB +VE START AKT, ,FR MORE SPECIFIC GO FR HRCT CHEST, ,TB MGIT, ,PCR FR MDR TB, ,,CHEST PHYSICIAN'S OPINIOB
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