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Present with chest pain and SOB, Age -26 yrs Your DD & Rx?

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Left upper zone shows homogeneous radioopacity the lower border of opacity has concavity upwards It is suggestive of collapse of apical segment of left upper lobe There is obliteration of left costophrenic angle with air fluid level in left middle zone This may indicate left sided loculated hydropneumothorax or cavitatory lesion with lung abscess These finding point to pulmonary tuberculosis as differential diagnosis Adv HRCT chest Sputum for AFB gene Xpert and AFB culture

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Left upper zone shows homogeneous radioopacity the lower border of opacity has concavity upwards It is suggestive of collapse of apical segment of left upper lobe There is obliteration of left costophrenic angle with air fluid level in left middle zone This may indicate left sided loculated hydropneumothorax or cavitatory lesion with lung abscess These finding point to pulmonary tuberculosis as differential diagnosis Adv HRCT chest Sputum for AFB gene Xpert and AFB culture

Dear Dr Jayesh, I don't agree with collapse in the lt upper zone because there's no ipsilateral tracheal shift ,hence I presume consolidation.
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Lt Lung Abscess Lower lobe D/D hydropnumothorax Rt lung hyper inflated ? Empyma ?? PTB Sequelae Ad CBNAAT Sputum exam Drainage of fluid under water seal

CXR..STUDY.. LEFT.. APICAL AND BASAL.. OPASITY.. ? KOCH'S.. ? LEFT HYDROPNEMOTHORAX .. NEED'S.. FURTHER EVALUATION..

Lt upper lobe fibrosis with lt lower lobe massive pleural effusion,do pleural tapping send pleural fluid for AFB CBNAAT DST, malignant cells.adv HRCT chest.start ATT if comes positive

XRAY study shows Lt lung abscess lower lobe, hydropneumothorax. RT lung hyperinflated. Emphysema, COPD. ?PTB. CB-NAAT, Sputum examination. Drainage of fluids..

Thanks sir..
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POSSIBLY LUNG. ABSCESS EMPYEMA DD HYDROPNEUMOTHORAX..?? NEEDS FURTHER. EVALUATION

? Hydropneumothorax... ? Plural effusions... ? Pulmonary tuberculosis... ? Viral pneumonia... Adv hrct chest,ESR

Green garlic...what are parents doing...home atmosphere should be happy...ginger pomegranat es muskmelon walnuts blue berries sunshine walk prayers rest...turn on left side...to sleep...... needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages.. beetroot coriander juice...raw tomatoes no tomatoes in cooking..no tuver dal.. boiled and bland food no refined oil...kucchi ghani oil.. peanuts... yellow banana cauliflower broccoli purple cabbage cabbage juice citrus fruit lemongrass decoction carrots...if stress gone heart is strong... cold pressed coconut oil massage and in naval... inhalation techniques under strict supervision of Doctor

Lober consolidation Emphysema Plural effusion Pneumonitis

Rx dekofsin syp 10ml tid Dekofsin tab 2bd Sanjivani vati 3tid. Sudarshab ghanvati 3tid

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