What is the treatment for breathing difficulty in ankylosing spondylitis Chest clear, creatinin

76yr old female diagnosed Interstitial lung disease.... Presented with fever breathlessness to casualty After careful examination Culture showed kleibshella ...pneumonia... Later patient was put on antibiotic according to culture report..... No improvent seen Patient still had wheeze and breathlessness and fever Changed the antibiotic to meropenam and colistin Still no improvement is seen Today ct showed image 1 Cavitation???? Fungal ball??? Aspergillosis?? But previous ct and X-rays in 2016 showed cavity too.... Patient is kept on ntg as Bp is 180/100 in titration dose 3ltrs of oxygen.... without tat patient not able to maintain saturation Ecg showed some irregular rhythm was taken advice from cardiologist and put on calaptin tablet 40.... Please suggest further suggestion n opinion

A 40 yr old chronic smoker presented with complaints of Weight loss n gradually increasing SOB since 5 months....He was found to have clubbing....His Xray and HRCT was done....What are your differentials for him and approach

46 year old male smoker with chronic cough and weight loss. No fever. No history of TB. What are the differentials

78y Female congratulations expectorations 7days fever 3days no past history of TB 3 hospitalization in 2 years for LRTI

38 year old patient with persistent cough x 3 weeks. X -ray