Patient came for medical checkup required for his new job. There is no chief complaint as such. What is the abnormality here and how to proceed?
Rt sided diaphragmic eventration seen. Could be normal or pathological. Needs evaluation like usg abdomen. ECG NSR S1 T3 Q3 sugg of Rt ventricular strain. Adv Echo CD to rule out RA RV dilatation. Further management accordingly.
Right side diphtagmatic eventration may be because of liver pathology abscess or hydatid cyst. Rule out it with CECT abdomen
Xray chest shows straightening of rt dome with a bump in cardiophrenic angle which is more likely hitus herniation I don't see any effusion Rest of reports are normal In my opinion pt is fit for job
* Hitus herniation Except X-ray chest no other reports show any abnormalities detected. Pt is fit to resume his duties .
Hiatus hernia No pleural effusion Normal repots
COPD Emphysema Rt base is collapsed PTB Sequel
Dome of diaphragm looks normal to me... ill defined opacities in patenchyma not visible may b due to poor pic quality... azygoesophageal recess is intact so i dont think there is any hiatus hernia... Although u can proceed with cect chest and usg abdomen to completely rule it out
Nothing visible abnormality at a glance.
POSSIBLY... HYDATED CYST LIVER. ABSCESS ADVISABLE.. C. T. SCAN
Pleural effusion Need Taping & lab analysis
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