#ItsTime A 56 y/o male with diarrhea & breathlessness. Lung auscultation revealed diffuse rhonchi and decreased breath sounds on the right side. He was afebrile and had increasing low to normal wbc in the prior 3 days (2.6–6.0 × 109/L). Chest X-ray showed diffuse consolidation throughout the right lung consistent with pneumonia. Is it tb?

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Inhomogenous opacities seen at sternal region. Bil min pleural effusion seen. Rt anteriorly placed sub pleural parenchymal distruction seen. Tracheal deviation towards right sec to underlying fibrosis. Consider malignancy.

Trachea pulled to rt Rt lower lobe is opaque and hazy Fibronodular lesion is seen likely cavity in rt mid zone Floppy infiltrates rt paracardiac region Ct supports cavitory lesion in rt mid zone Yes it is koch's chest

Thanx dr Pushkar ji Bhomia
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HAZINESS SEEN ON RT SIDE WITH SLIGHT MEDIASTINAL SHIFT TO RIGHT SIDE.RT SIDE CONSOLIDATION WITH FIBROSIS WITH LITTLE PLEURAL EFFUSION. PULMONARY TUBERCULOSIS

Diffuse, fluffy infiltration R lung.ddx: pulmonary Koch's,bronchoalveolar carcinoma, community acquired pneumonia.adv sputum examination and cbnaat.

Thanks Dr Sandeep S
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Pulmonary Koch's Do CBNAAT, pus c/s & AFB, CBC, FBS, PPBS, Urea, Creatinine, LFT, Urinalysis Post the reports obtained for further discussions

Right lung collapse & fibrosis ? PTB Sequelae D/D malignancy Ad CBNAAT Sputum exam HRCT thorax

PTB Needs further investigation and evaluation to conclude and line of treatment.

Thanks Dr Pushkar Bhomia
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Fluffy infiltration right lung and left lung base . Left CO angle not clear. Infiltration and cavitation, right upper zone . PT Suggest HRCT, left pleural aspirate analysis fir AFB and CBNATT

Needs review after antibiotics, all images should be seen. Age. Pl thickened. Must be chronic. ? Tubercular ?? Age. Malignancy

Trachea deviation to left,rt upper lobe fibrosis with basal hazyness noted bilateral pleural effusion mild Rt?

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