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Mother (aged 74 years) History: Diabetic, High BP, Thyroid, Parkinson, Kidney (swelling in legs). occasionally coughing (both dry and with phlegm). On Meditation. On 24th Mar, 2013, admitted to ICU, MKW Hospital (J Block, Rajouri Garden, New Delhi). Did not show much breathing problem but there was heaviness in stomach and rib side pain. Chest x-ray suggested fluid accumulation (Pleural effusion). First need extracted 1500 ml fluid, then tube inserted. Fluid continued coming (approx 6500 ml). Still coming till 28th Mar. Mother feeling better and is able to breathe without mask. However, on 27th late night, the tube was blocked and mother had breathing problem. Quick x-ray showed the blockage in tube which was corrected. On 27th, CT Scan was done. The finding is as under" IMPRESSION:Right side pleural effusion with subsegmental collapse in bilateral lower lobes. Chest tube noted on right side. Few subsentimeteric sized mediastinal lymph nodes seen. Patch opacities seen in right upper and middle lobe -?Infective [Tubercular] Mild to moderate ascites with mild diffuse wall thickening noted in caecum, terminal ileum and few small bowel loops with few subcentimeter sized mesenteric lymphadenopathy -- likely infective [? Tubercular. Since the CT Scan report was not conclusive, doctors suggested bronchoscopy. Not done so far. Based on above facts and findings, what could be suggestion (whether TB, cancer, lymphoma, any infection or another thing). Since volume of fluid is very large and is keep coming from the tube. It seems it is also keep accumulating very fast now? Otherwise, mother is stable, easily taking breathe and eating. Active in thinking, listening and speaking. Keep demanding for going back home.


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