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What Does This Chest X-ray Report Indicate?

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Posted on Thu, 7 Jan 2016
Question: I have the result of my chest X-ray. Consider ptb. Both upper lobes. Please correlate clinically and with pertinent laboratory parameters
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Get done sputum examination for AFB.

Detailed Answer:
Thanks for your question on Health Care Magic.

It could have been better if you had posted specific question that you wish to discuss in this background of chest X-ray finding.

I understand the remarks on this report is concerning. However the gold standard investigation for tuberculosis is identification of AFB (acid fast bacilli-bacteria causing tuberculosis) in the sample.
For Pulmonary tuberculosis, sputum is the sample. Therefore I will suggest you to get sputum examination for AFB done. If this is positive then start anti tb drugs.

On the contrary if sputum test becomes negative, then Bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis is advisable. XXXXXXX is more specific then sputum.

It is pertinent that you visit a pulmonologist and discuss these.

Hope I have solved your query. I will be happy to help you further. Please hit thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Drkaushal85 (2 hours later)
Radiographic Result :
Chest (PA)
Reticular infiltrates are seen in both upper lobes. No other XXXXXXX parenchymal infiltrates are noted. The Pulmonary vascular pattern is normal. The cardiac shadow is not enlarged. There the diaphragm, both lateral costrophrenic sulci and the bony thorax are unremarkable.

Impression.
Consider PTB , both upper lobes. Please correlate clinically and with pertinent laboratory parameters.

( This was the result i have.

I went to have xray because of some signs on my back.
Sometimes i feel something cold on my back, occassionally. i dont have fever and cough. For almost 6 years ago, i have done my medication for spot my lungs. and medication for almost 6 months. after x ray , scar was seen.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
No need to worry for tuberculosis if you don't have cough.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Pulmonary tuberculosis will definitely show fever, cough, expectoration.
Since all these are absent in your case, I don't think you are having tuberculosis.
We need to search for some other cause fir your reticular infiltrate. Please let me know
1. Do you smoke?
2. Do you have any exposure to dust, pollution or chemicals?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Does This Chest X-ray Report Indicate?

Brief Answer: Get done sputum examination for AFB. Detailed Answer: Thanks for your question on Health Care Magic. It could have been better if you had posted specific question that you wish to discuss in this background of chest X-ray finding. I understand the remarks on this report is concerning. However the gold standard investigation for tuberculosis is identification of AFB (acid fast bacilli-bacteria causing tuberculosis) in the sample. For Pulmonary tuberculosis, sputum is the sample. Therefore I will suggest you to get sputum examination for AFB done. If this is positive then start anti tb drugs. On the contrary if sputum test becomes negative, then Bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis is advisable. XXXXXXX is more specific then sputum. It is pertinent that you visit a pulmonologist and discuss these. Hope I have solved your query. I will be happy to help you further. Please hit thanks.