Hi, From the information you have given this means that your right upper lung shows changes of a disease called pulmonary tuberculosis . The lower lobe shows changes of a lung infection called pneumonia. The heart and other structures are ok. Now the first step is to get tested for a disease called tuberculosis . This is done by sputum examination for AFB and culture/PCR for mycobacterium tuberculosis. Sputum is a deep cough specimen take as a three day specimen. You may also get a Mantoux test ( done on skin). It is important to get treated for tuberculosis apppropriately if any of the tests are positive . Do you have any symptoms such as low grade fever, cough, night sweats, loss of weight etc. If so then there is a possibility that you may have acquired a disease called pulmonary tuberculosis . Should you require further assistance in interpreting your tests and reports you may post them here . Best regards