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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A CONFUSING CASE OF MILITARY CHEST RADIOGRAPHY
Author
Shreya kaundinya, Pradeep M. Venkategowda*, Potti Jagadeesh kumar, Ashwini Murthy
Email
drpradeepmarur@gmail.com
keyword
Miliary shadow, Aspergillosis, Adenocarcinoma, Tuberculosis
Abstract
Miliary shadow is often misdiagnosed as tuberculosis owing to the high incidence and prevalence. This is a case report of 55 year old female patient, presented with history of productive cough, breathlessness and decreased appetite. Chest examination revealed bilateral crepitation. Chest X ray showed bilateral military opacities. HRCT (High revolution computed tomography) chest showed multifocal nodular opacities of varying sizes in both lungs. Bronchoscopy with BAL (Broncho-alveolar lavage) was negative for gene expert MTB complex but positive for KOH mount and culture (Aspergillus fumigatus). The endobronchial and transbronchial mediastinal lymph node biopsy was done which showed moderately differentiated adenocarcinoma with mediastinal lymph node metastasis. Patient was diagnosed to be having Adenocarcinoma of lung with skeletal metastasis and secondary Aspergillosis infection. She was managed with Voricanazole, nebulization, chemotherapy and other supportive treatment. This case report highlights about other causes of miliary shadow in our country which is endemic for tuberculoses
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