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usually occur in upper lobes evident on chest x-ray as fibrosis
, nodularity, cavity, consolidations etc. It is more common in right side but can occur in left side.
It is better at this juncture to go for sputum examination for acid fast bacilli readily available at designated microscopy centres free of cost. If it comes out to be positive then anti-tubercular therapy should be started.
If it is negative, then suggestive tests like ESR
, montoux test can help.
If all are negative, and if symptoms like cough
of any type for 2 weeks, bloody sputum, loss of weight, evening rise of temperature, night sweats
are there, then treatment can be started empirically.