Persistent wheezing, Is this Asthma case?

A 42-year-old male, working as a house builder came with 11-month history of persistent wheezing, heard not only during auscultation but also by the patient himself. This wheezing had no correlation with physical exertion. He had few episodes of haemoptysis within the last 7 months and dry cough for about a month. He had a 10 pack-years smoking history, until the age of 31 when he stopped smoking. He drank alcohol occasionally. His symptoms were unsuccessfully treated with inhaled β2-agonists and steroids for about 10 months. Apart from these medications, he took no other drugs. On auscultation, there were wheezes in the upper fields of both lungs. The chest radiograph showed a disproportion in dimensions. What else do you see?

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Chest xray shows hyperinflated lungs Prominent bronchovascular markings Consistent wheezing BRONCHIAL ASTHMA Ct chest as well as xray shows opaque oesophagus with dialated lesion at carina H/o smoking and alcohol It should be explore more with Bronchoscopy Endoscopy To r/o malignancy

Thanx dr Mansukh Shah
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On CT mediastinal window, rounded opacity seen in left main bronchus. Irregular margins of carina. Possibly neoplastic growth/ carcinoid/ foreign body. Needs FOB sos biopsy HPE to conclude.

Bronchovascular markings are prominent B/L copd Emphysema An opacity in paratracheal region Lt side Bronchial Asthma R/0 PTB & Malignancy ad CBNAAT Sputum exam HRCT thorax

HYPERINFLATED LUNGS INCREASED BRONCHOVASCULAR MARKINGS ?COPD/EMPHYSEMA RULE OUT MALIGNANCY WITH ALL REQUIRED INVESTIGATIONS TO CONCLUDE

Thanks Dr. Ashok Leel
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PROMINANT BRONCHOVASCULAR MARKINGS.. COPD..EMPHYSEMA.. NEED'S CLINICOPATHOLOGICAL EVALUATION TO CONCLUDE DIAGNOSIS AND TREATMENT..

Tnx Dr Gyanendranath Tripathy
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COPD EMPHYSEMA. INCREASED BRONCHO VASCULAR MARKINGS. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN .

Thanks Dr G Tripathy.
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SUGGESTIVE. OF.. ASPIRATED... FOREIGN. BODY. IN LT. MAIN. BRONCHUS...??, DD S. O. L MASS.. Needs. Further. Evaluation

Possibly mass in left main bronchus Bronchoscopy guided biopsy can help further for HPE confirmation

Hyperinflated lungs Prominent bronchovascular markings S/O COPD

COPD, Emphysema Increased bronco vascular markings

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