TB day|24 March

#ItsTime #TB 65 y/o female came with fever and persistent cough 1 month ago. General examination was unremarkable. Examination revealed bronchial breath sounds and crackles in the right infraclavicular area. Lab confirmed iron deficiency anemia. Chest x-ray showed right upper zone homogenous opacity. The patient was diagnosed to have community acquired pneumonia and was treated with broad spectrum antibiotics but no response to the treatment. CT dense peripheral consolidation of the right upper lobe with enlarged pre- and paratracheal lymph nodes. What do you see in this x-ray? Please share your opinion.

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Well defined round opacity in rt apical zone with fibrotic strands Not responding to given treatment It looks tubercular Confirm by relevant investigations Pt requires ATT

Thanx dr Pushkar ji Bhomia
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Densed opacity seen in rt upper lung field. CT thorax showing paratracheal lymphadenopathy with upper segmental consolidation. Adv FOB BAL examination to differentiate between Koch's and bacterial infection.

SUGGESTIVE OF COLLAPSE CONSOLIDATION P. TB.... DD MALIGNANCY ADVISABLE... ALL. ROUTINE INVESTIGATIONS USG...

PTB DENSE OPACITY RT UPPER LUNG FIELD. NEEDS FURTHER INVESTIGATION AND EVALUATION TO CONCLUDE AND TREATMENT PLAN.

Thanks Dr Sandeep Ghodekar
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There is dense opacity rt upper zone CT showing rt paratracheal lymphadenopathy with consolidation of rt upper zone May be due to pulmonary Koch's or bacterial infection only can be differentiated by culture of the lavage bronchoalveolar by fiberoptic bronchoscopy.

Well defined opacity in R apex.? Koch's,? malignancy.sputum examination for AFB, malignant cells.

Opacities seen in the rt apical region of the lung suggestive of the Tubercular lesions

Dense opacity right upper lobe PTB Ad CBNAAT Sputum exam

? PTB .. NEED'S.. HEMOGRAM.. SPUTUM STUDY.. CBNAAT..

Tnx Dr Ashok Leel sir
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Rt apical pneumonia with active Koch's cbnat hrct expiratory films sos broncoscopic biopsy HP lyumphoma

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