34 yrs old female presents with the c/o breathlessness on exertion for the past 10 yrs, which is gradually progressive now it is Grade 2 dyspnea, cough 10 yrs duration, both dry and productive cough. H/o treatment with ATT 7 yrs back, h/o working in a stone grinding factory for a period of 4 yrs 10 yrs before. kindly comment on CXR and CT CHEST.

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Silicosis..... Sputum culture or CBNAAT to rule out active tuberculosis

Fibrocavitory lesion present on both lungs.PTB

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Tenting of both domes of diaphragm. Fibrocavitary lesions both lungs. Pneumoconiosis with PTB.

CXR. Hyperinflation. COPD. Extensive pulmonary Tuberculosis. Might be MDR TB. With secondary Becterial infection. Pt.is in type -1 Respiratory failure Do . Sputum C/S for AFB.

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K chest

Ild

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DDs pneumoconiosis with ILD, PTB, Sec PAH. Bronchiectasis.

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Interstitial diseases of lungs,it is aprograsive diseases,May lead to P.M.F.

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

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History of DOE of grade2 so also cough for 10 long years. And treated by ATT. Significantly no h/o fever or loss of wt or anorexia neither h/o hemoptysis though she has cough productive as well. Nor she ever been examined for sputum for afb no reports of cbc esr bsl etc. Any how given hrct and x-raychest are significant as there are marked infiltrates all over chest more abundant on rt side than lt that hardly you can makeout healthy lung tissue. Since pt is working in stone factory as stone grinder so d/d 1 pul tb to be confirmed by genxpert or cbnaat and 2 pneumoconiuosis. So rx to be plan accordingly.

Sir sputum AFB is negative Genxpert also negative .
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