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Cough fever dyspnea

Middle lobe wedge shaped subpleural opacity, possibly resembling a post-infarction pneumonia (Hampton's sign) related to advanced age, clinical features, long smoking history and COPD.
hyperinflated lungs
wedge shape opacity. pleural base
dd
with history of fever and cough consolidation is first to be consider
2nd Hampton hump of PE
need
CT
ECHO
ABG  pt with COPD
sputum for stain and culture d-dimmer
LLdoppler U/S
then investigate accordingly
treat the diagnosis

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