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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can An Online Doctor To Tell Me Whether - Prominent Bronchovascular Markings With No Definite Active Parenchymal Infiltrates Mean It Is TB Or Pneumonia ?

i m undergoing tests and my pulmonologist says that there are markings (i m not sure what he called them) on my right upper lung. he checked my CBC the same day the xray was taken and the WBC were normal. so he gave me a week s dose of antibiotic to test TB vs pneumonia . i returned a couple of weeks after, took another x-ray and still the markings were there. so he s now ordering a sputum test. i wanted to get a second a opinion so i got another xray and although i haven t showed it to another pulmonologist, the radiologist gave the ff remarks on my xray: the bronchovascular markings are prominent with no definite active parenchymal infiltrates. i can send a copy of my xray if it will, help. i m just anxious to know if this maybe TB or not.
Fri, 5 Aug 2011
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General & Family Physician 's  Response
Hi,
Thanks for query,
Presence of BVM does not stamp as tb.In blood count what is ESR?
As pulmologist has suggested sputum test he might have doubt about TB.
So with reports of ESR,Xray and sputum will give some clue about the diagnosis.
Ok and bye.
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Nephrologist Dr. Rakesh Madhyastha's  Response
Thanks for the query

Tb is diagnosed with x ray findings most of the time in the upper lobe alone with history of cough/fever of three weeks with expectoration. Even if it is TB then you have nothing to worry about as it is a treatable disease. A known devil is better than an unknown angel.

Have a nice living
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Can An Online Doctor To Tell Me Whether - Prominent Bronchovascular Markings With No Definite Active Parenchymal Infiltrates Mean It Is TB Or Pneumonia ?

Hi, Thanks for query, Presence of BVM does not stamp as tb.In blood count what is ESR? As pulmologist has suggested sputum test he might have doubt about TB. So with reports of ESR,Xray and sputum will give some clue about the diagnosis. Ok and bye.