Brief Answer: In India TB is the first diagnosis Detailed Answer: Hi, Thanks for writing to XXXXXXX This is Dr. Ashish Verma, a general surgeon, ansewring to your query. In India, for a fibrotic opacity in the apex of lung, the first thing that comes to any doctors mind is tuberculosis. If you are not having any chronic cough, it can be an old healed infection, which is very common in this subcontinent...and is no reason to worry. If you are having chronic cough, with or without low grade fever in the evening, you need to see a physician and undergo sputum test to diagnose TB...a few blood tests may also be advised by your physician to help reach the diagnosis...like a complete blood count. Hope, that i have answered to all your queries. If you have further queries, i will be glad to answer them. Regards, Dr. Ashish Verma

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