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How Can Active PTB Or Inactive PTB Be Identified Through An X-ray Report?
good day . im so confused and stress right now. i was diagnosed with bilateral ptb before , then undergo with 6 months medication . after that i took an xray . my xray result was : suspicious infiltrates are seen in the right upper lobe. heart, pulmonary vascularity and diaphragms are normal, but ... impression is apicolordotic view is suggested. my doctore said i was cured. then year later , i took an xray again , apicolordotic view and it says : densities are seen in both upper lungs probably due to minimal ptb of undetermined activity. i was shocked ! as what the h*** !! i dont know what happen . i dont know if im sicked or what. i asked the doctor if im sicked again he only said take a sputum test . but the problem is i dont have any cough or cold, so how can i give a sputum to the doctor. he didnt even know if im sicked again or im already cured. i ask him if its active ptb or inactive. he cant answer me. please help me to answer my question.
Mon, 15 Oct 2018
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Regular chest x-ray involves a back to front view (PA view) and a side view.
Apicolordotic view chest x-ray will show any lung changes in the upper lobes of lungs. It is recommended when there is doubt in chest x-ray (PA view) regarding any suspicious opacities in the upper lobes. It looks for pulmonary nodules that are lesions from pulmonary tuberculosis (PTB), or pulmonary nodules that are either benign (tumor) or malignant (cancer).
As per the given chest x-ray report there are suspicious infiltrates in the uppermost part of the right lung.
The request for additional imaging itself does not imply that you have a serious health complication, it just means that they need additional information.
There is no need to worry and it is only to clear a small doubt of anything wrong in upper lobes.
In addition to sputum for AFB, other tests such ESR, Mantoux test can be done to rule out active pulmonary tuberculosis.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mohammed Taher Ali
I have reviewed your query and here is my advice.
Regular chest x-ray involves a back to front view (PA view) and a side view.
Apicolordotic view chest x-ray will show any lung changes in the upper lobes of lungs. It is recommended when there is doubt in chest x-ray (PA view) regarding any suspicious opacities in the upper lobes. It looks for pulmonary nodules that are lesions from pulmonary tuberculosis (PTB), or pulmonary nodules that are either benign (tumor) or malignant (cancer).
As per the given chest x-ray report there are suspicious infiltrates in the uppermost part of the right lung.
The request for additional imaging itself does not imply that you have a serious health complication, it just means that they need additional information.
There is no need to worry and it is only to clear a small doubt of anything wrong in upper lobes.
In addition to sputum for AFB, other tests such ESR, Mantoux test can be done to rule out active pulmonary tuberculosis.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Mohammed Taher Ali
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