sputum negative : HIV neg,sugar Norma x-ray 1month difference treated by antibiotics pyrexia since 1 month cachexic sent for Ada montoxtest 60 year age
It is evident that after Antibiotic therapy scan showed much improvement.LUZ now can be seen fibronodular lesions c heterogeneous opacities & transverse fissure midzone.Trachea almost centrally placed.Let ADA report come,if not suggested, do CBNAAT,CBC c ESR.In my opinion it may be a case of Chest infection c Sputum negative PTB
At 60 yrs age mx is not significant. With one month course of antibiotics non tb Infection should have cleared. It's better to start anti tuberculosis tt and to rule out can go for CT_ guided biopsy and brush biopsy
It looks like consolidation of lt upper lobe with cavity. Likely to be kochs. Of course malignancy has to be ruled out with bronchoscopic aspiration & study,
There is well dfined round opacity in 2 x Ray with cavities lower down , secondary infection is cleared up to a good extent. Probably ca lung adv CT guided biopsy & c/s
LUZ Koch's, with superinfection. To treat associated medical illness wo if at all.. diabetes mellitus, screen for HIV, see for past H/o similar illness , cold be partially red pul kochs, follow after starting ATT . If response in the form of increase in wt, decrease in sign and symptoms increase in appetite etc .. Continue att properly.follow
The lesions are cotton wool fluppy opacities in left upper and mid zones.underlying reticulatyiion and multiple thickwlled cavities. No evidence of collapse. No mediasttinal mass or displacement.The lesiions appears to be tubercuulous pneumonia as cleared by antibiiotics.residual lessions appears to be chrronic pulmonary kochs. Possibility of malignancy are remote. To be treated withanti koch's. Bronchoscopiic aspirated biopsy can connfirm final diagnosis.
Fibrocaecous lesions left upper lobe of the LUNG
consolidation left upper zone count sputum text will throw light.simultaneously broad spectrum antibiotic will further help.Fungal infection also to b kept in mind
Pneumonitis/PTB
Trial therapy with ATD may be started. Considering age and cachexia CT guided biopsy to exclude malignancy.
Cases that would interest you
- Login to View the image
84yo man presenting with cough. Likely diagnosis?
Dr. Isha Garg9 Likes95 Answers - Login to View the image
54yr / M, Ex Smoker, Left 2yr back, non DM, non HTN, presented with h/o Fever for about one month, low grade, O/E: Bilateral creps & Exp Ronchi, Lt>Rt. CBC, FBS and CXR enclosed. Patient is a Paint worker.
Dr. Kunal Datta8 Likes31 Answers - Login to View the image
a 86 years old female with breathlessness. please comment
Dr. Vineesh S4 Likes20 Answers - Login to View the image
Middle aged male pt came with the complaints of fever and cough with sputum...15 days.. X ray findings? differential diagnosis?
Dr. Suresh Narayanan5 Likes23 Answers - Login to View the image
64 year old male with complaints of episodic sweating for the last 4 months.Occasional dry cough.No ho fever or weight loss.Non-smoker.Hb 14,wc 14400,esr 35,FBS 114,T3T4TSH normal.
Dr. Nabarun Guha20 Likes69 Answers
2 Likes