SOB of several months - Diagnosis?

27 years old male complaints with difficulty breathing for several months which does not affect daily activity, so he ignores the condition. Now he presented to ER with SOB on examination : pulse rate was 112 RR was 19 temperature normal BP normal oxygen saturation was 98% chest auscultation normal x-ray was done and is attached here is there any finding? what is ddx? and what condition causes SOB with normal saturation?

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There is clear and significant tracheal deviation to right side However there is no pathology is seen in lung field, So why trachea is pulled to right side?? There is nothing in lung parenchyma which is pulling trachea to right side Then Therefore there is must be something which is pushing trachea to right side There is possibility of mediastinal tumor compressing on trachea and pushing trachea to right side Adv HRCT Chest

* BL..HYPERINFLATED LUNGS.. * COPD..EMPHYSEMA..ILD .. NEED'S.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT.. HRCT.. PFT..

Tnx Dr Shivraj Agarwal sir
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Pneumonitis with minimal pleural effusion. Needs further investigation and evaluation to conclude and treatment plan.

Thanks Dr Sandeep Ghodekar
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BASAL PNEUMONITIS WITH PLEURAL EFFUSION CT THORAX,ECG,2DECHO, CBNAAT, SPUTUM ANALYSIS,RTPCR, WITH ALL REQUIRED HEMATOLOGICAL INVESTIGATIONS TO CONCLUDE

Thanks Dr. Vipin Bihari Jain
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Rt costophrenic angle is obscured Rt basal illdefined opacity Trachea is pulled to rt Likely synpneumonic pneumonitis with minimal effusion

Thanx dr Ashok Leel
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Tracheal deviation towards right. Hyperinflation Left sided eventration of diaphragm.

SUGGESTIVE of HYPERINFLATION COPD EMPHYSEMA NEEDS. FURTHER. EVALUATION I. L. D...??

ON RIGHT SIDE OF ABDOMEN SOME SQUARE SHADOW IS SEEN WHAT IS THIS

Chest deformity. Rt para tracheal fibro collapse adv CECT

Bilateral Hyperinflated lungs , with flat diaphragm. COPD ,emphysema ILD is also possible HRCT, PFT

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