@DrAyubaD If the clinical picture is inconsistent, differential considerations include lymphangitic carcinomatosis and atypical/interstitial pneumonitis.β
@DrAyubaD βChest radiograph demonstrates diffuse bilateral reticulonodular interstitial opacities. Correlation with the clinical presentation is recommended. In the presence of fever, night sweats, and weight loss, miliary/disseminated tuberculosis should be considered first.
@IhabFathiSulima Extensive left cerebral edema with significant mass effect and rightward midline shift. Given the history of pancreatic cancer, venous infarction due to cerebral venous sinus thrombosis (CVST) is an important consideration.