Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
A 41 y-o male presented with the complaint of acute onset of dyspnea for day with blood-tinged productive cough.
No past history or family history of pulmonary disease.
No use of alcohol or tobacco
He works in a leather factory.
BP- 135/85 mmHg, Pulse- 89 beats/minute, Resp rate- 26 breaths/m, Temprature- 99.9 degree F, Oxygen saturation- 94% on room air.
CBC, ESR, ANA, Urine analysis are wnl.
Chest x-ray normal with elevation of left hemi-diaphragm.
What is the most probable diagnosis?
Please give your opinion on management of the patient.