female patient age 57 c/o chest pain and restlessness gradually weight loss hb 10.6 est 25/ hour tlc 7500

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Looks like increased shadow of cardiac region along with prominent border of liver treacha shifted to right side along with enlargement of aOrtic knuckle...s/o CCF with hepatic enlargement with aortic knuckle calcification also glass shadow appears so... first go for ECG then go for HRTC thorax..also consider test sputum AFB and Mantoux test

CCF? N ILD Agree with Dr.Pramod Need ECG n Echo n also AFB n montoux test as there is weight loss CBG Auscultation findings Till then can start Drakshasav or Draksharishta 10mlbd Yogendra ras with Giloy swaras of Hridbasthi with Mahanarayan taila

Incresed cardiomegaly increase bvm gas shadow ccf with hepatic enlargement do 2decho ecg hrct with afb for sputum moutex test

Rt. Pleural effusion. Do usg chest and diagnostic pleural tap. Evaluate for pleuritis or tuberculosis

There are less chances of lvf as pedicle vascular width is normal.. More likely ILd

GROUND GLASS APPEARANCE AT LUNG FIELDS SUGGESTIVE OF ILD INTERSTIAL LUNG DISEASE.

Ground glass appearance ? Ild

Agree with Dr.Pramod Jamadar.

Ty sir
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Interstitial lung disease?

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