Dear friend, welcome and thanks for entrusting your query here at HCM!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.
Apical nodular shadows has many differentials and TB is only one of them.
You will need to have a detailked evaluation, a pulmonology consultation, CT scan
and lab tests to differentiate.
Do you have any respiratory symptoms?
, sputum, breathlessness etc.?
Please do not neglect and be guided by an expert pulmonologist as many conditions have satisfactory treatments.
PTB is a possible cause.
I hope you are fully satisfied with the guidance I gave.
I would be glad to answer any further queries. May I request you to rate your experience here before you close.
Thank you and Good luck!