I'm really worried about my mother-in-law. She's got this lung problem with encysted empyema in her left lung and a 1.5cm encavitation in her right lung. We've been getting her treated at a private hospital, but she's not making a full recovery. What should we do next? Is there something else we should be looking into? Really hoping for some guidance here.

Understanding the Current Condition

• Encysted empyema and lung cavitation can complicate recovery. They may indicate persistent infection or other underlying issues.

Importance of Comprehensive Re-evaluation

• Consider detailed imaging like a CT scan and microbiological tests to assess the infection's extent and cause.
• Evaluate for resistant infections or conditions like tuberculosis or malignancy.

Treatment Review and Possible Adjustments

• Review current antibiotic therapy and drainage procedures.
• Discuss the potential need for thoracic surgery consultation.

Multidisciplinary Approach

• Involve pulmonologists, infectious disease specialists, and thoracic surgeons for comprehensive care.

Monitoring and Supportive Care

• Ensure close monitoring of symptoms, nutritional support, and respiratory therapy.

When to Seek a Second Opinion

• Consider consulting a tertiary care center or specialized lung hospital for advanced management options.

Summary and Next Steps

• Immediate actions include re-evaluation and possibly seeking a second opinion to optimize recovery.