Concluded Case

Fissural effusion

56 m,non dm, ht , presets with dyspnea and mild fever c/o lt infra axillary pain from 1st April with wbc platelets within limits crp 36 , fever absent after three day but dysnic and pain in infra axillary area same at it is, today crp 28 ,wbc 5400,plt 159000,on pipzo4.5 , zovorax 800 ,please dx and Rx, cbnaat awaiting @Dr. Sandeep Ghodekar ,@Dr. Sachin Shah please waiting for opinion

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Concluded answer
Bil prominent bronchovascular margins noted. CT thorax showing bil diffuse parenchymal GGos with septal thickening. ( Peripheral wedge shaped opacity seen on left side) Suspicious fissural effusion and perihilar opacification seen. Could be hypersensitivity pneumonitis/ Infective etiology. Images are not visible clearly. Adv Echo CD to rule out CCF.
All Answers
Bil prominent bronchovascular margins noted. CT thorax showing bil diffuse parenchymal GGos with septal thickening. ( Peripheral wedge shaped opacity seen on left side) Suspicious fissural effusion and perihilar opacification seen. Could be hypersensitivity pneumonitis/ Infective etiology. Images are not visible clearly. Adv Echo CD to rule out CCF.
Regards and thanks for valuable guidance
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Prominant bronchovascular margin ? Pneumonitis patch Or Bronchitis infective one Kindly rull out Kochs By doing CBNAAT
Sir , CBNAAT -ve
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Poor clearity of images Left sided peripheral small opacity seen in CT Possibly infective
Thank you doctor
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