Dr. Amit Kumar, Pulmonologist/ Chest/ Respiratory Medicine Specialist

01/06/2024

Right lung opacities- ? Lung cancer / right pleural effusion.

22/05/2024

Vocal cord seen on bronchoscopy, left lower lung glued for bleeding from lung.

17/05/2024

When Normal lung get burn after smoking

12/07/2022

06/06/2022

03/06/2022

Role of RADIAL EBUS in peripheral lung lesion



A 77 year old male CAME TO OPD WITH COMPLAINTS OF COUGH , FEVR , WEIGHT LOSS AND LOSS OF APPETITE, PATIENT ALSO HAD CT CHEST – S.O MASS LESION ON RIGHT SIDE

PATIENT ADMITTED – PET CT – SOFT TISSUE MASS LESION WITH SPICULATED MARGINS IN RIGHT UPPER LOBE , POSTERIOR SEGMENT

FURTHER – RADIAL EBUS GUIDED BIOPSY AND BRUSH BIOPSY WERE DONE UNDER C- ARM GUIDANCE

BRUSH BIOPSY – POSITIVE FOR MALIGNANT CELLS

HISTOPATHOLOGY – MULTIPLE BITS OF BRONCHOALVEOLAR MUCOSA, FEW SHOWING CELLULAR TUMOR AGAINST DESMOPLASTIC STROMA. TUMOR CELS WERE ARRANGED IN TUBULOGLANDULAR STRUCTURES AND CORDS- MORPHOLOGIC FEATURE WERE OF NON SMALL CELL CARCINOMA.

Diagnosis - lung cancer

02/06/2022

PULMONARY THROMBOEMBOLISM CASE-

A 58 years old male came to hospital with complaints of breathing difficulty for 3 days and sweating for 3 days
He was diagnosed as oligodendroglioma 2 months back and underwent craniotomy , chemotherapy and radiotherapy for it
He had no other co-morbidity
Chest X-ray s/o b/l infiltrate and blunting of cp angle
D dimer was raised
NT -PRO BNP WS also higher
CT CHEST ANGIOGRAPHY WAS DONE- video attached above - a large filling defect / thrombus is seen in distal main pulmonary trunk extending across its bifurcation into right and left pulmonary arteries with straddle thrombus at bilateral pulmonary artery bifurcation, extending into upper lobar and descending pulmonary arteries, segmental and subsegmental branches of b/l lower lobe and left upper lobe and to a lesser extent in right upper lobe. Right side cardiac changes were dilated
B/l lower lobe of both lungs had pulmonary infract

Among test for procoagulant state were done- protein c was also raised

Patient was managed conservative on medicine and he responded well and discharge home on medicine

31/05/2022

World no to***co day -31st may 2022

26/05/2022

A 34 year old male came with complaints of breathing difficulties and fever, cough for last 1 wk
He had no prior illnesses
On examination in emergency room breath sound we’re absent on right side
Chest X-ray s/o right hemithorax opaque

Patient was further managed by removing 1 .2 lit fluid from chest
On further analysis of fluid revealed tuberculosis

Patient started anti tubercular treatment- patient had good response to TB Medicine

29/04/2022

24/04/2022