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[|Human|] my husband age 53 have been reported with lungs problem ;Defined as small homogenous opacity seen in left lower zone near base close to the left dome of diaphragm (arrows).The doctor suspect it Pneumonitis and prescribed Levodropropizine Rapitus Syrup.I want to ensure it is rightly diagnosed
[|AI|]  Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Pneumonitis, with ?infective cause or could be from ? Secondary to Lump in basal segments of the left lung. The Syrup would only control the irritation unproductive-? Or productive cough with this lesion. To ensure right diagnosis I would suggest following Dos for you case-Check Sputum for causal bacteria / AFB/Malignant or benign cells. Check X-ray Lung with PA and Oblique views to get assess the exact location of the opacity in the left lung. Response to Course of Antibiotics(Augmenting Cap 650 mg x 1 x 2 times per day x 10 days) would decide further investigation by Bronchoscopic studies. AS there is no history of infective complaints with your husband, I would suggest assessment by Fiberoptic-Brohchoscopy with study of lavage for AFB and Malignant and benign cells from the suspected lump in the basal bronchial lumen. My Impression-As the homogenous opacity with no infective complaints is there, (as asked from your doctors script of anti-cough and antihistamines), Adenoma of the Bronchus ? Malignant Lesion needs to be kept in mind and ruled out by the above investigations. It could also be due to atelectasis of the lung from blockage of the lower basal bronchial lumen or could be just a progressing and developing Pre-Pneumonia consolidation developing in to full-blown pneumonia in your case. All these possibilities need to be kept in mind while treating your husbands case.Hence, For the age of your Husband, This is a serious thing to be suspected and need to be investigated further. I would hence suggest you to Consult with Chest Physician or Chest Surgeon who would assess your husbands' case on above lines and would plan needful treatment accordingly. Hope this reply would enlighten you on If your case needs further diagnosis or not. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS