Concluded Case

wnl chest skiagram

comment on the following x-ray 60 F previous h/o kochs operated for periampullary carcinoma ; Whipple's

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COPD tubular heart p/h/o kochs operated case of periampullary ca

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Hyperinflated lung field Left middle lobe fibrosis seen as few reticular shadows - sequelae of old tuberculosis

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Bil hyperinflation. Left sided reticular Shadows seen. Left sided bifercated ribs noted.

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B/L hyperinflated lungs Rt apical fibrosis with trachea shifted to Rt side Go for HRCT CHEST to r/o metastasis or secondaries

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Bilateral hyperinflated lungs Rt apical region fibrosis Bilateral mid zone round hazy? Secondaries CT thorax to confirm the diagnosis

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Hyper inflated lung fields bilateral, trachea pushed to rt, Tubular heart, left mid zone reticular shadow seen, cardiovascular markings prominent rt.

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?strip of air seen in rt upper paratracheal region likely pneumothorax

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Hyperinflated Lungs, COPD Left fissural thickening

COPD tubular heart p/h/o kochs operated case of periampullary ca

B/l haziness s/o pnemonitis

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1

Pl add Secondary deposit to rt paracrdic region

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