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Chest x-ray showing suspicious infiltrates in upper lobes. Aorta is atheromatous. Is it PTB?

Our househelp had her chest x-rayed. She has suspicious infiltrates in both upper lobes but a lordotic view is needed for further analysis. The rest of the results are as follows: There are suspicious infiltrates in both upper lobes. The rest of the lung are clear. Heart is not enlarged. Aorta is atheromatous. The rest of the chest structures are unremarkable.................. I am a kidney transplant patient and it s important for me to know ASAP if this could be PTB.
Asked On : Tue, 7 Aug 2012
Answers:  1 Views:  641
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Internal Medicine Specialist 's  Response
Chest X ray showing infiltrate even in lordotic view one of the reason could be PTB in areas where Tuberculosis is endemic. A sample of sputum for AFB X 3 days may be of help other clinical examination of patient as well as some blood test like blood counts and ESR may help. Even a IgG and IgM antibody for TB or a PCR test may help to rule out PTB but other possibilities include Fibrosis of Lung or Sarcoidosis or ?? Malignancy.
Answered: Sun, 19 Aug 2012
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