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BreathingdifficultycurrentlywithO2on bed
We have done the CT scan as per the report concussion we find the below are details.
Can you please suggest the best option what next steps need to take care
TECHNIQUE: 32 slice volume scan of Chest was done without IV contrast
CONCLUSION
• Trachea is centrally placed with normal lumen and wall. The mainstem bronchi are normal
Posterior Basal consolidations in B/L. lower lobe.
Diffuse patchy pneumonitis in B/L lung, predominantly in upper zone
. Ascending, arch, descending aorta and its branches, main pulmonary artery and its major branches, SVC and its tributaries show normal caliber and position.
⚫ Cardiac configuration is normal.
No obvious mediastinal or hilar lymphadenopathy.
. Moderate B/L. pleural effusion.
Esophagus appears normal
Visualized bony parts appeared normal.
Answers (7)
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CT chest suggestive of parapneumonic effusion .
Needs admission and both diagnostic and therapeutic pleural fluid aspiration.
Next Steps
consult pulmonologist for proper management.
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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and reports to suggest you further management plan and treatment prescription for the same
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Rule out cardiac cause. Share 2D Echo if done. Need admission and treatment. Take online consultation for further evaluation
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Can be Viral Pneumonia ( Covid or any other viral) . Get RTPCR for Covid 19. Start the antibiotics therapy along with send Sputum G/S , KOH, Pyogenic C/S , Sputum cbnaat for TB. Send. Blood Culture also. If no diagnosis made , then aspirate pleural fluid and send for investigations.
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Need admission
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Dr. Vivek Gautam
Pulmonologist
11 yrs exp
Greater Noida
share the film..need to see the extent
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Dr. Sivaraj Karri
Pulmonologist
10 yrs exp
Kakinada
The patient requires hospital admission
He is having lung infection
It requires further investigation’s and antibiotics
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.