SOB of several months - Diagnosis?

27 years old male complaints with difficulty breathing for several months which does not affect daily activity, so he ignores the condition. Now he presented to ER with SOB on examination : pulse rate was 112 RR was 19 temperature normal BP normal oxygen saturation was 98% chest auscultation normal x-ray was done and is attached here is there any finding? what is ddx? and what condition causes SOB with normal saturation?

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Tracheal deviation towards right. Hyperinflation Left sided eventration of diaphragm.
BASAL PNEUMONITIS WITH PLEURAL EFFUSION CT THORAX,ECG,2DECHO, CBNAAT, SPUTUM ANALYSIS,RTPCR, WITH ALL REQUIRED HEMATOLOGICAL INVESTIGATIONS TO CONCLUDE
Thanks Dr. Vipin Bihari Jain
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There is clear and significant tracheal deviation to right side However there is no pathology is seen in lung field, So why trachea is pulled to right side?? There is nothing in lung parenchyma which is pulling trachea to right side Then Therefore there is must be something which is pushing trachea to right side There is possibility of mediastinal tumor compressing on trachea and pushing trachea to right side Adv HRCT Chest
Rt costophrenic angle is obscured Rt basal illdefined opacity Trachea is pulled to rt Likely synpneumonic pneumonitis with minimal effusion
Thanx dr Ashok Leel
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Pneumonitis with minimal pleural effusion. Needs further investigation and evaluation to conclude and treatment plan.
Thanks Dr Sandeep Ghodekar
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* BL..HYPERINFLATED LUNGS.. * COPD..EMPHYSEMA..ILD .. NEED'S.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT.. HRCT.. PFT..
Tnx Dr Shivraj Agarwal sir
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SUGGESTIVE of HYPERINFLATION COPD EMPHYSEMA NEEDS. FURTHER. EVALUATION I. L. D...??
ON RIGHT SIDE OF ABDOMEN SOME SQUARE SHADOW IS SEEN WHAT IS THIS
Hyperinflation of lung fields.?COPD/emphysema.
RR - 19, Normal Range. X - ray - Looks almost OK. Pulse Rate - 112. Abnormal. Chronicity - over months. Could be a case of Thyroidism. May pls check.
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