Concluded Case

M35. Progressive breathlessness and Cough with expectoration -15days. Case of PTB defaulter with TBM. No hist.of fever,Chest pain,haemoptysis. Not a KCO -DM,HTN,CKD.

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Concluded answer

Bilateral upper zone fibrosis (PTB sequele ).. more on rt side pulling d trachea towards right..

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Bileteral emphysematous lung field S /o of Emphysema. With right upper lung fibrosis with cavitory lesion. Sputum for AFB. Sputum for CBNNAT. To rule out Active tuberculosis. Complete course of ATT.

Yes there is reactivation of pulmtb onrt side even cavitation can be seen with fibrosis both apical zones and shifting of trachea on rt side needs Genxperts and cnbaat to r/o MDR pultb

Bilateral upper zone fibrosis (PTB sequele ).. more on rt side pulling d trachea towards right..

Post tubercular fibrosis right side with reactivation of tb sputum for afb and cbnaat should be done and att should be started with other supportive care

Rt upper lobe infiltration with fibrosis. Rule out Tuberculosis

Pulmonary tuberculosis and copd. Sputum for AFB for three days. Spot and overnight (both)

Thanx dr VedPrakash Sharma

Thanx dr Balaji Sethuraman

Bil PTB. As he is a defaulter do sputum for AFB CULTURE & SENSITIVITY.TO And restart the treatment according to the sensitivityreport.

Small cavity and fibrosis changes noted in right upper lobe Fibrosis changes in left upper zone Trachea shifted to right side

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