F25. c/o Haemoptysis twice 15 days back. Fever and joint pain.
Media trachea pulled to left Fibrosis left upper zn Joint pain is part of fever There seems a level like that of lung absecc in left lwr Zn But as this level is tilted so may be old
Left uz cicatrization collapse with pull of trachea to left side, compensatory hyperinflation of rt lung with its herniation to left side... Old tb sequale... rule out active tb ( less likely) Fungal infection (aspergillus) . Sputum for afb, fungal stain, if nonconclusive then bronchoscopy... Till then give supportive treatment, propped up position, cough suppresant (after sputum collection) , tranexamic acid , ethamsylate, iv fluids, blood group cross match, cect thorax to rule out Rasmussen aneurysm
As per CXR finding pt.seems to be a case of Old case of Koch,s chest. Pt should be investigated for cause of haemoptysis. Do Sputum for AFB , CBNAAT. and CE CT Thorax . . Treat accordingly.
Left UZ fibrobronchiectatic changes with hyperinflation right side and shifted mediastinal to left s/o old kochs sequeale Also rule out active kochs
Left upper Zone PTB.. fibrocavitory lesion n shift of trachea n Mediastinum to same side. Sputum For AFB & CBNAAT required. Start ATT.
I agree with Dr V Patel
Left pleuroparenchymal fibrosis . Probably sequele of old pulmonary tuberculosis . Details of past treatment history r required. Rule out active kochs.
Fibrlbonchectatjc changes with super added infection and loss of lung volume and shift of trachea to left ? old kochs
Fibrotic change in left upper zone of lung s/o old kochs
Old healed PTB,causing haemoptysis.
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