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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Chest X-ray Mean?

Hi i'm Anne. im 31 yo. 5'5 & 120lbs. I did my routine annual physical exam today and it includes a Chest Xray. the result says "shows mottled reticulonodular densitities in the left suprahilar region probably due to minimal PTB of undetermined activity. The rest of the lung fields show no definite parenchymal infiltrates" What does this mean?I do not have a cough, a fever, i exercise regularly, i have a healthy appetite. My mom told me that i had primary complex as a kid. i hope someone can help me out here. thanks a lot
Thu, 2 Jun 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the x ray report you have mentioned.
This x ray report is suggestive of reactivation of tuberculosis.
You are having primary tb complex in childhood.
This can cause reactivation of tuberculosis in later part of life.
Reticulonodular densities with mottled appearance is characteristic of early tb infection. Absence of symptoms can not rule out tuberculosis in you.
So better to consult pulmonologist and get done
1. CT thorax
2. Bronchoscopy and BAL (bronchoalveolar lavage) analysis.
CT scan is more informative than chest x ray in evaluation of such densities.
Bronchoscopy and BAL analysis will confirm tuberculosis.
You will need anti tubercular drugs.
Don't worry, you will be alright. Consult pulmonologist and discuss all these.
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 The Chest X-ray Mean?

Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the x ray report you have mentioned. This x ray report is suggestive of reactivation of tuberculosis. You are having primary tb complex in childhood. This can cause reactivation of tuberculosis in later part of life. Reticulonodular densities with mottled appearance is characteristic of early tb infection. Absence of symptoms can not rule out tuberculosis in you. So better to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAL (bronchoalveolar lavage) analysis. CT scan is more informative than chest x ray in evaluation of such densities. Bronchoscopy and BAL analysis will confirm tuberculosis. You will need anti tubercular drugs. Don t worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.