Kindly comment on the chest xray finding? Patient 70 year old male has been compalining of cough with expectorant along with dyspnea on exertion

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Obstructive lund diease with lung fibrosis

Do the Diagnosis For Chest X-ray ( HRCT THORACIC PORTION ) and I think has a also Pneumonia

? COPD.. ? LUNG FIBROSIS.. NEED'S.. HRCT THORAX.. 2D ECHO STUDY..

Tnx Dr Shivraj Agarwal sir
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Prominent bronchial markings are seen. Dilated trachea. COPD.

Cardiomegaly with soft haziness seen in the lungs suggestive of bronchopneumonia DD covid19

I am agree with@Dr. Shivraj Agarwal Sir.

Thanx dr
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B/l reticular opacities, more in lower zone..is there h/o smoking?h/o fever?saturation?this could be D/d-Chronic bronchitis, secondary infection(bacterial/viral) on underlying ild, right heart failure..further inv-cbc with esr, sputum gram staining and culture, covid swab, lft, rft, blood sugar, ecg, hrct chest and 2d echo.....see admission of patient according to curb-65 criteria, see for pedal edema and jvp, pulse(to see heart failure)..if not indoor able can start with antibiotics(Amoxicillin with clavulanic acid), cetrizine, steam inhalation, and diuretics if heart failure...if admitted can start empirically with injectable ceftriaxone, iv fluids(preventing fluid overload), if heart failure is there clinically then no iv fluids and iv diuretics can be started. ..by then reports will be available and antibiotics can be stopped if not infective..screen for comorbidities-dm, htn, ischaemic heart disease

Increased bronchovascular markings on both sides of lung with Left side mediastinal lymphadenitis Small left clear opacity on Apical left side , multiple bronchodilator on both sides of lung. ? To be ruled out for pulmonary Tuberculosis.

Calcified rt bronchial tree from carina to rt lower lobe Trachea is dilated and tortuous Obstructive lung with lung fibrosis b/l

Thanx dr Ajeet Singh
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Quality of xray is not good Aortic knuckle calcification Left cp angle obliterated RVH Get HRCT chest with 2D echo

Thanks@Ajeet Singh sir
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