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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Left Apical Punctate Nodulocalcific And Fibrotic TB Residuals Noted Mean?

My X-ray reading shows left apical punctate nodulocalcific and fibrotic tb residuals noted. What does it mean? I was not diagnosed with tb in the past years with annual monitoring of my chest X-ray shows clear lungs. This makes my medical pending for my job application abroad.
Thu, 2 Jul 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The X ray shows possible changes from a previous TB infection of the lungs. The findings are an assumption and need to be reviewed by doing a chest CT scan. The commonest cause for punctate calcifications is TB and these are seen in the apical region.

There are other conditions which might cause such findings and proper tests are required to confirm it. Job screening is very strict on chest X ray findings. Since there is confusion about the cause of the findings, it is suggested that you please consult a pulmonologist and get a CT scan thorax to support your non TB status. Please do not worry.
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What Does Left Apical Punctate Nodulocalcific And Fibrotic TB Residuals Noted Mean?

Hi, Thanks for writing in. The X ray shows possible changes from a previous TB infection of the lungs. The findings are an assumption and need to be reviewed by doing a chest CT scan. The commonest cause for punctate calcifications is TB and these are seen in the apical region. There are other conditions which might cause such findings and proper tests are required to confirm it. Job screening is very strict on chest X ray findings. Since there is confusion about the cause of the findings, it is suggested that you please consult a pulmonologist and get a CT scan thorax to support your non TB status. Please do not worry.