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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Suspicious Densities In The Right Upper Lobe Means?

What should i do because i have suspicious densities on the right upper lobe. My company is asking me to get a fit to work. I had PTB way back 2010 and it was already cured but the doctor said it will leave a scar. I need the fit to work so i can work. What do i need to do?
Fri, 29 May 2015
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
Tuberculosis after treatment heals by either fibrosis or calcification. And both these produce permanent scar tissue on chest x ray.
So for your query, I advice you to consult pulmonologist and get done
1. CT thorax
2. Bronchoscopy and BAL (bronchoalveolar lavage) analysis.
CT thorax is much more informative then chest x ray in lung scar.
Broncoscopy and BAL is more superior to rule out tuberculosis.
If both these are negative for tuberculosis then you can argue with visa authority about not having active, infectious disease.
Your right upper lobe densities are only old, healed, inactive lesions.
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 Suspicious Densities In The Right Upper Lobe Means?

Thanks for your question on Health Care Magic. I can understand your concern. Tuberculosis after treatment heals by either fibrosis or calcification. And both these produce permanent scar tissue on chest x ray. So for your query, I advice you to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAL (bronchoalveolar lavage) analysis. CT thorax is much more informative then chest x ray in lung scar. Broncoscopy and BAL is more superior to rule out tuberculosis. If both these are negative for tuberculosis then you can argue with visa authority about not having active, infectious disease. Your right upper lobe densities are only old, healed, inactive lesions. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.