A male aged 56 years who works in shoe manufacturing factory Chief Complaints Progressive Dyspnea Poor appetite Dry cough (x 2 months) Physical Examination Pall(+) Clubbing (+) Resp - b/l coarse crepitations


Lateral view shows extensive swelling and floppy haziness bilaterally Trachea is mildly pulled to rt Pt is working in leather shoe manufacturer is exposure to organic and fungal infections D/d 1 Aspergillosis 2 tuberculosis Need to workout

Thank you doctor

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