? ILD

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

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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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