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Had haemoptysis. Chest x-ray showed consolidation. CT scan showed tuberculoma. Want opinion

in 2008, I had 3 episodes of haemoptysis. sputam was negetive.chest x-ray showed rounded consolidation in the right upper zone. ct scan showed nodular cavitation in lung parenchyma - tuberculoma(?) .received full course of CAT-II A.T.D. at present have haemoptysis. Chest x-ray showing round soft tissue dense opacity at rt mid zone . please give your valuable opinion.
Asked On : Tue, 22 Jan 2013
Answers:  3 Views:  86
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Dermatologist 's  Response
why you have recieved cat IIatd is not clear.
in anewly diagonosed case usualy cat I is given.
cat II is for chronic,treatment after default,relapse cases.
it is a standard protocol.
but may change in special cases.
hemoptysis may be due to various reason.
one common cause in India is tuberculosis.
others are bronchiectesis,severe coughing,a-v malformation etc.
round opacity at mid zone may be due to recurrance of tb.
yet it is an infective disease and managable.
as you have got cat II once,chance of MDR-TB should be ruled out.
an experienced chest physician can guide you properly.
dont worry.
good luck.
Answered: Tue, 22 Jan 2013
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General & Family Physician Dr. Md Iftakhar's  Response
Hi Sagarneelbanerji,

Haemoptysis is really a very allarming sign and people are frightened when they have this problem.
The investigation shows that there is some thing wrong in the parenchyma and this is causing this problem.
Many times it happpens that the tubercular infection healed with a consolidation or tuberculoma in the parenchyma and somethime, bloood vessels in these area are eroded and lead to the problem of haemptysis.
Now depending upon there severity and condition of this management can be done and investigation in form of bronchoscopy and treatment with surgical intervention to close the bleeding blood vessel is done.
I would suggest you to consult some respiratory physician regarding this.

Thanks and take care.
Answered: Tue, 22 Jan 2013
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Pulmonologist Dr. Modini Venkatarao's  Response
you are an old tuberculous patient.
now round soft tissue dense opacity at rt mid zone suggestive of one of the following
1 new infection
2 blood clot
3 tumor
so CT chest is necessary for correct diagnosis
Answered: Tue, 22 Jan 2013
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