pulmologist

Pt./f 35 year old.suffring from 1 year .. C/o breath problem cough Dx Rx

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Crowding of ribs in upper areas bilaterally Calcified nodular infiltrates are seen bilaterally in apical zones Lt side shows paratracheal haziness with loss of lung volume and some nodular and fibroticstrands are seen Rt chest is hyperinflated Obviously it is a c/o old infective aetiology disease Pulmonary tuberculosis with sequele

Thanx dr Pushkar ji Bhomia
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Cxray shows changes of COPD emphysema. Left sided fibrobronchiectatic lesions with volume loss. Calcified opacities seen in bil lung fields. Mediastinal pull towards left side. Compensatory hyperinflation seen on rt side. Possibly Koch's sequelae. Evaluate and treat for active infection.

CXR..STUDY .. HYPERINFLATED LUNGS.. BL .. RETICULONODULAR OPACITIES .. ? KOCH'S .. NEED'S CLINICOPATHOLOGICAL EVALUATION TO CONCLUDE DIAGNOSIS AND TREATMENT ..

Tnx Dr Shivraj Agarwal sir
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Extensive reticulonodular infiltration in entire left lung field along with fibrosis which is causing shift of mediastinum to left side There are few areas of calcification in right upper zone These findings are highly suggestive of pulmonary tuberculosis Adv Sputum for AFB gene Xpert and AFB culture

Opacity progressive in RT upper zone and whole all the lobes of Lt side lung . Suspected Pulmonary Koch's . CBC ESR Sputum test for AFB CBNAAT PPD Test PFT and ATT treatment with secondary treatment with symptomatic treatment

PTB Sequelae Ad CBNAAT Sputum exam HRCT thorax R/O COVID by RT PCR

X-ray.. Hyperinflated lungs.. Management.. Clinicopathologic evaluation to conclude diagnosis... Treatment..

Old koch s

Infiltrations Rule out Koch's? CBC,ESR,CRP ,Sputum AFB,Blood Sugar,SPO2 % Bronchodilators sos

Thank u Sir
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Xray suggest consolidation patches with effusion and calcification small cavities of left lung with mediastinum shift to left side strongly suggest Pulmonary tuberculosis ?plural effusion IOC is Sputum microscopy for TB with CBNAAT TOC is ATT(DOTS+)

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