Concluded Case

Pulmonary tuberculosis

68 yr old Pt presented with complaints of chronic cough Fever and breathlessness .

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Changes of COPD emphysema. Bil reticulonoduler parenchymal infiltrating shadows seen. Mediastinal widening? Aortic aneurysm/ dilatation with pulled up hilum. Possibly Koch's sequelae with ILD. Evaluate for active infection.

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Changes of COPD emphysema. Bil reticulonoduler parenchymal infiltrating shadows seen. Mediastinal widening? Aortic aneurysm/ dilatation with pulled up hilum. Possibly Koch's sequelae with ILD. Evaluate for active infection.

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Trachea mildly deviated towards rt Bilateral hyperinflated lungs with multiple fibrocavity lesions with bronchiectasis and bullae formation more so on rt side Lt cardiac border is straightened with round opacity at aortic region CT thorax 2D echo reqd to confirm the diagnosis ?PTB?? Brnchogenic ca?? Aneyrism

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* BILATERAL FIBROCAVITARY LESSONS MORE ON RT.SIDE.. * MEDIASTINAL WIDENING .. ? PTB..? ILD ..? AORTIC ANEURYSM.. NEED'S CLINICOPATHOLOGICAL EVALUATION WITH.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT.. CTCE STUDY..THORAX.. 2D ECHO..

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COPD/emphysema.bilateral fibro-bronchiectatic lesions seen in mid/upper zones with mediastinal widening.needs to be evaluated for active infection, including Koch's.

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COPD EMPHYSEMATOUS LUNGS reticulonodular infiltration bilateraly ?aortic aneurysm ILD Rullout koch's

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*PTB ** Bronchogenic carcinoma Needs further investigations and evaluation to conclude diagnosis and treatment plan.

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BUD IN TREE APPEARANCE MORE ON RT LUNG TRACHEA -----> RT SUGGESTIVE POST TUBERCULAR BRONCHIACTASIS >

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COPD EMPHYSEMA R /O.... ..........P. TB ..... BRONCHOGENIC CARCINOMA

ILD

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Pulmonary tuberculosis.

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