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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Fibrotic PTB, Activity Undetermined Mean?

Hello. I had PTB in high school and had undergone medication for 6 months. I had undergone 2 chest xrays from two different health clinics (had a 2nd opinion). The first report says: "residual fibrosis" while the 2nd one reads: "fibrotic ptb, activity undetermined". Now i am confused and worried with both results.. what does the it mean? I'm 27 years old and wasn't expecting that this would be the result since i have an active lifestyle like hiking, jogging, snorkling and climbing mountains. Now I have good offers working aboard but I`m afraid that I might not able to fulfill it because of this.
Please advise what would be the best thing to do, I`m beginning to loose self-esteem for I can`t grab greater career opportunities. Thanks a lot
Fri, 17 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Your current x rays are showing old, healed fibrotic lesions.
Chest x ray can not clarify about activity of the lesion, means is it active infectious lesions or old fibrotic lesions.
So second radiologist comments as activity undetermined.
Any lung infection in the past when heal with treatment, produce fibrosis. And this fibrosis remains as it is through out the life.
For your visa purpose, we need to prove that these lesions are inactive, scar lesions.
So consult pulmonologist and get done CT thorax and bronchoscopy with BAL (bronchoalveolar lavage) analysis.
If both these are negative for infections, you can argue with visa authority about having old, inactive, fibrotic scars.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks
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What Does Fibrotic PTB, Activity Undetermined Mean?

Thanks for your question on Healthcare Magic. I can understand your concern. Your current x rays are showing old, healed fibrotic lesions. Chest x ray can not clarify about activity of the lesion, means is it active infectious lesions or old fibrotic lesions. So second radiologist comments as activity undetermined. Any lung infection in the past when heal with treatment, produce fibrosis. And this fibrosis remains as it is through out the life. For your visa purpose, we need to prove that these lesions are inactive, scar lesions. So consult pulmonologist and get done CT thorax and bronchoscopy with BAL (bronchoalveolar lavage) analysis. If both these are negative for infections, you can argue with visa authority about having old, inactive, fibrotic scars. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks