Pandigital clubbing

25 years old male c/oBreathlessness associated with vomiting after exercise on&off for 2years No other complaints. History Treated for EPTB(Lymphnode TB) 20 yrs back Vitals Stable Physical Examination Grade 3 Pandigital clubbing Investigations Echo-normal

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Soft inhomogenous opacities seen in bil lung fields. Left hemidiaphragm is raised. Few nodular calcification seen likely PTB sequelae. Kerleys lines seen. Adv CECT thorax and throat swab for SARS cov 2 RT PCR.

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Bilateral paracardiac nodular infilteation seen R/O Bronchial Ca

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Heart shadow is pear shaped R/o pericardial effusion

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BRONCHECTESIS

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