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What Does This Chest X-ray Report Indicate?

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Posted on Wed, 15 Jun 2016
Question: Hello there, I have got my chest x-ray done for immigration purposes and results are as below:



1. Evidence of tuberculosis- Present- Minimal density seen in Lt. apex.

2. Lung fields- Abnormal- Minimal density seen in Lt. apex.



Please let me know what does it mean.



Thanks,



XXXX
doctor
Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
I suggest for apico-lordotic view of chest X-ray.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Your findings may suggests minimal density in left apical region,it may be due to infection etc.
I suggest for apico-lordotic view of chest X-ray.It is a special view for apical region.Apical region is covered by bony ribs and clavicle.
Normal chest X-ray (PA view)may miss the findings so you may need special view.This will help in better evaluation.

Your findings also need clinical correlation.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Indu Kumar (52 minutes later)
Thanks Doctor.

I have gone through 3 X Sputum test and results were negative and i have also got a CT scan done. I have also attached it for your reference. Kindly have a look and advise what it is.

Thanks,
doctor
Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
Fibrosis is a healed stage and generally it doesn't require any treatment.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

Your findings may suggests sequel of past healed infection. Infection naturally heals by fibrosis and calcification.
It is good that lesions are not active.
Fibrosis is a healed stage and generally it doesn't require any treatment.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Indu Kumar (13 hours later)
Thanks Doctor.

Shall i still go and see pulmonologist?

What further test immigration doctor may ask for?
doctor
Answered by Dr. Indu Kumar (14 hours later)
Brief Answer:
I don't think there is any need to visit pulmonologist

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

It is a healed stage and I don't think you need further test.
I don't think there is any need to visit pulmonologist

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Indu Kumar (6 hours later)
Thanks Doctor.

But i think Immigration doctor is likely to ask for further tests just to find out TB is not active.

So what other tests he/she may ask for?

Thanks,
XXXX
doctor
Answered by Dr. Indu Kumar (3 hours later)
Brief Answer:
You may be asked for some blood test like T.B gold test for confirmation.

Detailed Answer:
Hello,
Thanks for writing to HCM,
I've gone through your query and understand your concern,

You may be asked for some blood test like T.B gold test for confirmation.
You may also need routine hemogram.

Get well soon.

Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr. Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Does This Chest X-ray Report Indicate?

Brief Answer: I suggest for apico-lordotic view of chest X-ray. Detailed Answer: Hello, Thanks for writing to HCM, I've gone through your query and understand your concern, Your findings may suggests minimal density in left apical region,it may be due to infection etc. I suggest for apico-lordotic view of chest X-ray.It is a special view for apical region.Apical region is covered by bony ribs and clavicle. Normal chest X-ray (PA view)may miss the findings so you may need special view.This will help in better evaluation. Your findings also need clinical correlation. Get well soon. Hope I have answered your query. Further queries are most welcome. Take Care Dr. Indu XXXXXXX