38 years old lady c/o cough six months, weight loss has occurred, along with this c/o pain at anus, inside anus severe, pain at urethra too at times. ESR 75 mm, CBC normal, urine, RFT normal.

USG severe pid, X-ray chest shows lt diaphragm up with acute angles, rt diaphragm is lower and cardiophrenic angle is, showing some collapse of lung. Radiologist comments are needed to explain?