Concluded Case

right sided pneumonectomy.

elderly lady presented with dyspnea on exertion since last one month. spo2 70% BP 100/60mmhg. HR 140/min breath sounds are absent on right side plz comment on cxray.

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Concluded answer

Thanks for expert comments. Cxray shows,Rt sided opaque hemithorax with mediastinal pull towards ipsilateral side. Surgical clips seen at the level of rt main bronchus with abrupt cut off. Left sided compensatory hyperinflation seen. Findings sugg of rt sided pneumonectomy. It's a academic case. Thanks again. Regards.

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Thanks for expert comments. Cxray shows,Rt sided opaque hemithorax with mediastinal pull towards ipsilateral side. Surgical clips seen at the level of rt main bronchus with abrupt cut off. Left sided compensatory hyperinflation seen. Findings sugg of rt sided pneumonectomy. It's a academic case. Thanks again. Regards.

Way to go in learning. Thank you ,Sir ,for such interesting case . The findings are there, but I did not SEE .
1

Tracheal shift to right Opaque right hemithorax Left lung compensatory hypertrophy Collapse right lung ,? Endobronchial obstruction ,? TB, ? Malignancy CECT, bronchoscopy ,BAL for AFB AND CBNATT, and cytology

Thank you, Doctor
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SUGGESTIVE OF RT. SIDED... MASSIVE PLEURAL. EFFUSION... POSSIBLY C. O P D ADVISABLE... 1. USG 2. ALL. ROUTINE. INVESTIGATIONS 3. RULE. OUT... .... TUBERCULAR. INFECTION

Breath sounds are absent on rt side Trachea is pulled same side Lt side hyperinflated Sp02 is 70% Massive collapse of rt lung Obstrution in rt main bronchus Neeto r/o malignancy intrabronchial or exbronchial

Thanx dr Shivshanker Warkad
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Massive right sided pleural effusion But in spite of massive effusion the trachea is pulled to the same side that is right side This may be because of collapse of lung on right side which is pulling the lung towards right side Adv CT scan chest

Massive pleural effusion rt side d/d CHF 2 Tubercular 3 Malignancy Ad CBNAAT for tuberculosis Effusion to be taped send for HPE

1 DEFORMITY OF THORACIC SPINE SCOLIOSIS WITH CONVEXITY TO RT 2 TRACHEA IS DRAWN TO RT 3 COLLAPSE RT LUNG

Rt massive pleural effusion USG, CBC ESR, BLOOD SUGAR F, BUN, pleural fluid aspiration Therapeutic as well as send for Diagnosis

Rt sided massive pleural effusion or collapse. Trachea shifted to same side. R/o malignancy

RT side massive plural effusion, Tap fluid and send for PCR , CBNNAT , CBC ESR BLOOD SUGAR HIV SPUTUM FOR AFB

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