Concluded Case

Hydropneumothorax

19y/M Left sided chest pain x 1 month shortness of breath x 1 month no fever, cough

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Concluded answer

Left mid zonal Air fluid level seen. Mediastinal shift towards contralateral side. DDs infected giant bulla/ pneumatocele Lung abscess Encysted hydropnemothorax Eventration of left hemidiaphragm. Adv ryles tube first. Confirm it is in stomach. Further investigations and management accordingly.

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SUGGESTIVE OF... LT. LUNG... ABSCESS....

Left mid zonal Air fluid level seen. Mediastinal shift towards contralateral side. DDs infected giant bulla/ pneumatocele Lung abscess Encysted hydropnemothorax Eventration of left hemidiaphragm. Adv ryles tube first. Confirm it is in stomach. Further investigations and management accordingly.

Thank alot sir, Sir is there any possibility of hydatid cyst?
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Lt lung pneumatocele with contralateral mediastenal shifting

Thanks Dr Dinesh Gupta
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Hydro pneumothorax lt side

Tnx Dr Piyush Mishra
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L sided hydropneumothorax.d/d:lung abscess,infected pneumatocele.

HYDROPNEUMOTHORAX LEFT SIDE WITH MEDIASTINAL SHIFT TO RT SIDE

Thanku sir
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Lt sided pleural effusion

Thanks
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Lung abcess... ? Hydropneumothorax.. This pus-filled cavity is often caused by aspiration, which may occur during anesthesia, sedation, or unconsciousness from injury. Alcoholism is the most common condition predisposing to lung abscesses. Lung abscess is considered primary when it results from existing lung parenchymal process and is termed secondary when it complicates another process e.g. vascular emboli or follows rupture of extrapulmonary abscess into lung.

Thank you doctor
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Hydro pneumothorax with mediastinal shift . As the patient is having dyspnea this needs to be decompressed urgently with chest aspirations. Since there is no fever with rigor possibility of lung abscess unlikely on the contrary it could be tubercular. Diagnosis after examination of pleural aspirate.

Lt sided hydropneumothorax with shifting of mediastinum to Rt .. Adv.. CTVS consultation for chest tube insertion with underwater seal..provide broad spectrum antibiotic coverage till culture reports of pleural fluid..

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