Concluded Case

M22. c/o weight loss 2months weakness 1month acid erructation 1m.

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Concluded answer

Lamellar pleural effusion right. Right hilum elevated. Rt.suprahilar paratracheal lobulated opacity present-enlarged ON. Floppy opacities right lung. Fibrocavitary lesions left mid zone. PTB.

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Rt apical mid zonal basal paracardiac and left mid zonal fluffy infiltration seen. Rt sided pleural effusion seen. Possibly PTB Fungal pneumonia Pulmonary edema. GERD. Sugg CECT thorax, echo , RV. And sputum study.

Lamellar pleural effusion right. Right hilum elevated. Rt.suprahilar paratracheal lobulated opacity present-enlarged ON. Floppy opacities right lung. Fibrocavitary lesions left mid zone. PTB.

Well marked fibrovascular cavity on lt mid zone near chest wall with fluffy fissural swelling Rt side fluffy infiltrates with hypodense areas in apical and mid zones Rt cp angle is obscured suggest pleural effusion C/o pulmonary tuberculosis with pleural effusion tapping for confirmation

Cxr suggests - left MZ and right UZ MZ "Cotton Wool" " opacities. - Blunted right CP angle Ad- CECT thorax. - Diagnostic pleural fluid taping and sputum culture sensitivity,, KOH stain,, CBNAAT. Most likely Atypical pneumonitis Fungal pneumonitis with superadded bacterial infection (immunosuppressive condition??) -Viral markers

Fibrobronchiectatic lesion right upper zone and midzone and base, , and left midzone . Cavity left midzone . Right CP Angle blunted, pleural effusion IMPRESSION--- PT SAPUTM FOR CBNATT

Cotton wool opacities in rt upper and mid zone and lt mid zone Rt pleffusion ? Fungal pneumonitis with pl effusion

POSSIBLY PNEUMONITIS ..... MAYBE. FUNGAL WITH SECONDARY INFECTION ADVISABLE.... C T... SCANNING FLUID. C/ S.......

Infiltration Rt upar , middle , lower lobe and Lt mod lob

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