Concluded Case

M75. DOE 2-3 months increased last 2days. Swelling of legs 10days Intermittent cough with expectoration. No fever,non smoker. SPO2-97%.

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Left sided massive pleural effusion, without significant mediastinal shift. Likely a case of left sided malignant pleural effusion. Needed: pleural fluid study, biochemical & cytological.With ADASe, PAP stain. Also needed CECT thorax

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Xray suggests - Hyperinflated lung fields with mediastinum shifted to right,, Tracheal deviation right side -cardiomegaly -Left opaqe MZ LZ with collapse,, blunted CP angle It is massive pleural effusion with pericardial effusion. Needs ICTD on the left side

Thank u dr prabhakaran
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Densely opaque left mid and lower thorax. silhouetting left heart border. Slight mediastinal shift towards contralateral side. Possibly empyema or malignancy. Needs evaluation.

Massive pleural effusion(Lt) & pericardial effusion Needs thorough work-out to reach at diagnosis. Possibly CHF /malignancy /empyema

Thanks @Dr. Ravi Rupareliya
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CARDIOMEGALY LT. SIDED... MASSIVE. PLEURAL. EFFUSION WITH PERICARDIAL. EFFUSION POSSIBLE... C. H. F ADVISABLE... C. T.... SCANNING..... THORAX R / O...... MALIGNANCY

2/3 rd of chest on left side shows hydropneumothorax Mediastinum and trachea pushed to rt Pleural effusion Adv tapping for diagnostic and therapeutic treatment

Hyperinflated right lung. Trachea shifted to right Dense lobulated opacity left mid and lower zone ? Mass left lung? Massive pleural effusion Left Advised CT Thorax

This is chest x-ray PA view, technically adequate. There is slight scoliosis of the vertebral column at the middle ( which gives an impression of mediastinal shift ) . The left main bronchus is faintly visible and the carinal angle is normal.lAreas of radiolucency are seen at the upper part of the uniform density . A small bulla with a fluid level is seen by the side aortic knuckle.The upper part of the density has a ragged margin The radiological impression is :- Consolidation of lingular segment of left upper lobe and consolidation of left lower lobe. Left lateral view and CT thorax would give better diagnosis. ( 15/4/ 2019 , 4:55. PM).

Left huge pleural effusion most likely malignant do tapping routine ada cell malignant cell if fluid haeemorrhagic it confirms malignancy pet scan

Trachea deviated to rt side Opaque middle and lower lt lung ?pl effusion ?pericardial effusion CT thorax 2d echo

Pleural Effusion with collapse consolidation left side.

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