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What Causes Fibrotic Scarring In Right Upper Lung?
Question: Hi This is XXXX XXXXXXX From XXXXXXX Today I went for Medical test at GAMCA center all my reports are normal and Even the lung X ray is Normal but the have declared me unfit on the basis of Scaring RT UZ ( Chest X Ray Abnormal. I have got X ray done with two other private medical center who have said that I am perfectly fit and normal. I have applied for a job abroad. Please help me out what can be done to hide or remove this scar to pass the medical test.
Brief Answer:
Suggested chest CT scan and review by authorized pulmonologist
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. Chest x ray is an important test for overseas employment. This is because tuberculosis is an epidemic disease and other countries want to avoid entry of people who can have this condition, based on chest x ray findings.
2. There can be misinterpretations on chest x ray because the reporting is subjective and can vary with the doctor seeing your x ray. You have mentioned that the x ray done in 2 other places was given a normal report. Therefore it is probable that the scarring in the right upper zone is not a real scarring.
3. In the above event it is suggested that you get a chest CT scan done. This is a detailed investigation and will clearly tell if you really have scarring in the right upper zone or it was a mistake in reporting.
4. If there is a scarring on chest CT scan then you have to consult a pulmonologist or lung and TB specialist authorized by your employer and get evaluated to know the probability of active TB and the impact of the scarring on your current health status.
5. Scarring can occur from any lung infection since childhood and not always TB. This is from healed lung tissue and will stay permanently. If the authorized pulmonologist, after seeing the chest CT scan, is able to clarify that there is no scarring or that the scarring problem is not connected to TB then your job can be safeguarded.
Hope your query is answered.
Please do write back if you have any doubts
Regards,
Suggested chest CT scan and review by authorized pulmonologist
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. Chest x ray is an important test for overseas employment. This is because tuberculosis is an epidemic disease and other countries want to avoid entry of people who can have this condition, based on chest x ray findings.
2. There can be misinterpretations on chest x ray because the reporting is subjective and can vary with the doctor seeing your x ray. You have mentioned that the x ray done in 2 other places was given a normal report. Therefore it is probable that the scarring in the right upper zone is not a real scarring.
3. In the above event it is suggested that you get a chest CT scan done. This is a detailed investigation and will clearly tell if you really have scarring in the right upper zone or it was a mistake in reporting.
4. If there is a scarring on chest CT scan then you have to consult a pulmonologist or lung and TB specialist authorized by your employer and get evaluated to know the probability of active TB and the impact of the scarring on your current health status.
5. Scarring can occur from any lung infection since childhood and not always TB. This is from healed lung tissue and will stay permanently. If the authorized pulmonologist, after seeing the chest CT scan, is able to clarify that there is no scarring or that the scarring problem is not connected to TB then your job can be safeguarded.
Hope your query is answered.
Please do write back if you have any doubts
Regards,
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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