Concluded Case

M27. Cough with Haemoptysis. 1month. Past history of PTB. ATT taken.

4 Likes

LikeAnswersShare
Concluded answer

LEFT LUNG FIBROSIS WITH DESTROYED LUNG WITH MEDIASTINAL SHIFT TO LEFT SIDE WITH COMPENSATORY EMPHYSEMA RT SIDE

All Answers

COPD emphysema. Left sided fibrosis/ destroyed lung. Mediastinal herniation towards left. Compensatory hyperinflation on rt. PTB sequelae. Evaluate for relapse, fungal ball, malignancy.

Tnx
0

Trachea is pulled to lt Old healed fibrotic lesion lt apex Lt lower lobe is collapsed A round density paratracheal region lt side and some infiltrates are seen with homogeneous opacity lt lower zone Lt dome couldn't be seen Rt chest is hyperinflated Collapse lt lower lobe with sequele pulmonary tuberculosis

Thanx dr Sandeep S
0

View 2 other replies

Lt side pleural effusion lt hemithorax is hazy upper & mid zone pnumonitis Rt lung hyper inflated PTB Ad pleurl tapping send fluid for HP exam CBnAAT P T B with pleural effusion

Tnx
0

View 3 other replies

Extensive fibrosis of left lung with pulling of trachea and mediastinum towards left and compensatory emphysema of Rt lung. To rule out active tb and or MDR tb plus HIV status by thorough investigations. However cough and haemoptysis may be their without any active tb and picture is purely due to tb sequelae because treatment was given quite late after extensive tb. No question of COPD or chronic bronchitis as they are different entity. However tuberculosis related Bronchiectesis may be there which is the cause of haemoptysis.

LEFT LUNG FIBROSIS WITH DESTROYED LUNG WITH MEDIASTINAL SHIFT TO LEFT SIDE WITH COMPENSATORY EMPHYSEMA RT SIDE

Collapsed left lung with hyperinflated right lung. Post PTB sequelae. Evaluate for reactivation of TB. Treat as MDR TB. Rule out bacterial or fungal infection and malignancy.

SUGGESTIVE. OF LT. . COLLAPSED. LUNG POST. PTB. SEQUELE POSSIBLY... COPD MDR. TB FUNGAL. INFECTION R / O.. MALIGNANCY

Trachea deviated towards lt side Lt lung homogenous sparing a part of apical region Lt apical round opaque opacity Rt hyperinflated lung COPD Emphysema with PTB sequele lt lung with? Malig ?? MDR CECT Bronchoscopy n biopsy

Hyperlucency in b/l lung fields destroyed left lung...with tracheal pull towards the left side... CECT Thorax plus Sputum routine to r/o Active Koch's...

Collapse/fibrosis of L lung with gross mediastinal shift to L.compensatory hyperinflation of R lung.Kochs reactivation needs to be ruled out.

Load more answers