It si not a really good X ray because it si overexpoused and rotated to the left side. But it seems to be some kind of liquid collection no the right cisure. Also the nodes on the right hillium are big. Could be cancer??

HRCT Chest was done which showed no nodal enlargement. 

Sadbean Hossain 

Lily

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A 65 year old man with fever

This is a chest xray of a 65 year old man who was admitted with the complaints of fever for 4 days and vertogo (?) for the same duration. After full blown investigations for more than 3 days, any exact diagnosis could not be reached. The fever was continuous with the highest peak of 105°F. On the 7th day of fever, he developed creps at the right side. Initial CXR was absolutely normal but after 7 days of admission i.e. 11th day of fever, there was mild collection at the fissure. What could be the possibility? 
P.S. His initial total count of WBC was 1940/cumm, otherwise all parameters were normal.

A 65 year old man with fever

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