chest x-rays

Miliary TB fig 1 Here is a chest x-ray of a young girl with Factor X deficiency from rural Rolpa. The disease takes away the zeal of life. she is a perfect example of how disease torments continuously. she was admitted multiple times with bleeding from her orifices. she even had a rupture of ovarian cyst and hemoperitoneum. when she presented last time, she had an acute onset of shortness of breath and fever for 10 days. her fever had subsided while she was still short of breath. her covid 19 pcr was negative. initially, her chest x-ray and symptoms corroborated with the current covid 19 viral infection. Her brother was short of money and tried to take her away against medical advice. however, we managed to get free bed for her and convinced him to stay back in hospital. when she had very delayed improvement than expected in her oxygen requirement and respiration, we sent covid 19 PCR again and kept her on steroid. we repeated chest x-ray and it revealed miliary shadows suggestive of