Concluded Case

65 yrs female presented with cough with expectoration fever anorexia since last 2 months. History of PTB and taken AKT three times in the past. spo2 45% on arrival. required NIV. BP 100/60mmhg HR 120/min. WBC 9500 N 84% Hb 11 plt 426000 sputum sent for analysis.

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Concluded answer

Discreet infiltrates and calcified bodies Reticular fibrosis bilateral Trachea pulled to rt rotation of xray P/h/o FREQUENT ATT Findings are suggestive of pulmonary tuberculosis and sequele

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Cardiomegaly left sided CCF

1.scoliosis 2.cardiomegaly 3.fibrotic scarring as TB sequelae.4.hyperinflation.5.tracheal deviation to right.

Cardiomegaly lt sided heart failure

Thanx Dr Gyanendranath Tripathi
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Interstitial lung disease with ? Cardiomegaly

Scoliosis with convexicity to rt Biventricular hypertrophy Rt dome of diaphragm tented upwards Diffuse fibronodular calcification more on rt Hyperinfated lungs Sequelae of old Pulmonary Koch's COPD with CCF with? MDR TB Further investigation is required

Thanks Dr Gyanendranath Tripathy
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? CARDIOMEGALY ? CCF LEFT

Thanks Dr. Ssnjoy Sarkar
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Scoliosis convexity towords rtside Fine fibroreticulonodular nfiltration bilateraly Irregular tiny calcified opacities Left ventricular hypertrophy ILD Known case of OLD PTB possibly sequel of old koch's

Bilateral old calcified foci cardiomegaly pt ild with Corpulmonale but gene expert 3 day sputum for afb culture & sensitivity pft hrct oxygen th erapy 2 decho

R/0 miliart tb
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SUGGESTIVE. OF... PROGRESSIVE LT. SIDED HEART. FAILURE...

Cardiomegaly, possibly Progressive LVF

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