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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Koch's Disease, Scar In Lungs. Done X Rays, Sputum Tests. What Maybe Wrong?

been diagnosed with koch's disease last 2002. had taken medicines for 6 months. an xray was made again & the densities seen in the upper right lobe of my lungs was still there. after a year taken again 6months medicines & not yet disappeared. the doctor said it was already a scar. this 2013, just last week we had an annual physical exam & i told the radiologist they will seen something in my upper lobe which is already a scar & she told me to bring all my past xray films for comaprison. now i received the result & they were suggesting for me to do the apicolordotic xray. do i have to do it over & over again? i've done this many times & so tired explaining to them that this is already a scar. & i rigolously consult doctor & had a sputum test for 3 consecutive days & the result is always negative meaning there is no bacteria found in my sputum. what can u say with this?
Tue, 27 Aug 2013
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General & Family Physician 's  Response
hi
thanks for ur question
you had taken treatment for kock's for two times.if it was kock's then it,s post treatment fibrosis of kock's. then you have no reason to worry.
The other possible causes is
-1Cancer of the apex of the lung
for which you need complete examination
-physical examination
-lab investigation
complete heamogram
pulmonary function test
FNAC of lesion
rest other routine test
hope best for you
DR G C OJHA
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Diagnosed With Koch's Disease, Scar In Lungs. Done X Rays, Sputum Tests. What Maybe Wrong?

hi thanks for ur question you had taken treatment for kock s for two times.if it was kock s then it,s post treatment fibrosis of kock s. then you have no reason to worry. The other possible causes is -1Cancer of the apex of the lung for which you need complete examination -physical examination -lab investigation complete heamogram pulmonary function test FNAC of lesion rest other routine test hope best for you DR G C OJHA