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What Does My X-ray Test Report Indicate?

Posted on Tue, 5 Jul 2016

Question: MY WIFE HAD UNDERGONE MEDICAL CHECK UP FOR KUWAIT VISA PURPOSE. SHE HAS PASSED ALL THE TEST EXCEPT THE CHEST X RAY. SHE WAS FOUND TO HAVE THE FOLLOWING

NODULAR CALCIFIC DENSITY LESION IN ANTERIOR SEGMENT OF THE UPPER LOBE,,IRREGULAR PLEURAL THICKENING WITH FIBROTIC LESIONS IN RIGHT APICAL REGION.

ACCORDING TO GAMCA TEST THIS IS A INFECTIOUS DISEASE, AND HAS TRAVEL BAN.

DEAR DOCTOR, PLEASE LET ME KNOW WHAT IT IS EXACTLY AND HOW TO GET TREATED THIS DISEASE. ID IT SPREADABLE OR NOT? PLEASE HELP US SOON.
THANK YOU
SYED

Answered by Dr. Drkaushal85 (53 minutes later)

Brief Answer:
Was she having tuberculosis in the past?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the x ray report you have mentioned.
This is suggestive of old fibrotic scarred lesions.
And these are permanent lesions which stay life long.
Please let me know
1. Was she having tuberculosis in the past?
2. Is she having habit of smoking?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (6 minutes later)

1. SHE HAD NO TB IN THE PAST

2. SHE HAS NO SMOKING HABIT

thanks

Answered by Dr. Drkaushal85 (3 minutes later)

Brief Answer:
What are her symptoms at present?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Is she having any symptoms at present?
2. If yes then what are these symptoms?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (6 minutes later)

1. no symptoms.
she is perfectly alright.

Answered by Dr. Drkaushal85 (9 minutes later)

Brief Answer:
Where do you live?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I also working as pulmonologist in government set up and I used two deal with visa medical fitness for lung problems.
I am getting similar kind of patients once or twice a week as I am practicing in XXXXXXX where old tuberculosis is very common.
So I can guide you better about this.
Please let me know
1. Where do you live?
2. Where you have done this medical fitness?
3. Was she having pneumonia in the past? Pneumonia can also cause similar kind of lesions.
4. Was she admitted during her childhood for prolonged sickness (any)?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (4 minutes later)

1.she is living in XXXXXXX XXXXXXX pradesh.
2.we have done this medical fitness in Appollo spectra, XXXXXXX
3. she did not have pnumonia in the past.
4. one time she fell down when she was about 10years old from the staircase, and was unconsiuos just for one or two days. After that she was normal.
Thanks

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
She will need CT thorax and sputum AFB culture.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So she lives in XXXXXXX and you have consulted correct hospital for this.
She will need
1. CT thorax
2. Sputum AFB culture.
Please let me know
1. Has she consulted pulmonologist there?
2. What was his (doctor's) advice?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (7 minutes later)

1. she consulted a chest specialist in XXXXXXX he advised to take two weeks Antibiotics. she has taken antibiotics and done X ray again in XXXXXXX X ray came clear. she went to Apollo spectra for re test, the same scar came in their xray. we are confused now. Dr.Navneeth ,Apollo spectra said they do as per kuwait standard, so they can find the lesions. others cant find this in their Xray. I dont undersatnd the logic.

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
Send me chest x ray image from XXXXXXX doctor which was reported clear.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
This is not possible.
If fibro calcified lesions are seen in Apollo x ray then it must be seen in XXXXXXX x ray also.
Can you please send me image of x ray taken by XXXXXXX pulmonologist which was reported clear.
I know Apollo will not give you x ray film.
So I need only XXXXXXX x ray.
I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (8 minutes later)

i could not upload the xray here. Any aaps number like watsapp, Imo if you have i will send.

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
You can upload similarly as you already uploaded other reports.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You have uploaded the fit, unfit report already.
Same way upload x ray image. I want x ray image (film) not written report.
Try if you can upload or else I will give you my watsapp number.
Please let me know if you don't able to upload.
I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 minute later)

please check the xray i uploaded by screen shot

Answered by Dr. Drkaushal85 (6 minutes later)

Brief Answer:
She is having fibro calcified lesions.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I have gone through the image you have attached.
It is showing fibro calcified lesions in both upper zones.
I know why this dispute occur.
This x ray is not a digital one. So details are not very clear. So some minor things can be missed due to poor quality of x ray film.
While increasing Apollo they are doing digital x ray. These digital x rays are having excellent image clarity, so smaller lesions can also be picked up.
I think this is the reason for difference in the report.
I want to know what Apollo doctors told.
I mean they just unfit her or ask for something more.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (7 minutes later)

Apollo doctor said, my wife is perfectly alright. she has no any disease. But the scar due to what reason they do not know. they are suspecting it may be old TB scar. but my wife has neither TB history nor Pneumonia. Doctor said According to the following guide lines from the kuwait government my wife is unfit.

Infectious category
• HIV/AIDS reactive
• Hepatitis B surface antifgen, HCV reactive
• Microfilaria positive and malaria blood film positive, known leprosy patients
• Tuberculosis – any type, X-ray showing active PTB, past evidence of PTB or healed • Pulmonary scar, including minimum fibrosis, calcification (granuloma) pleural thickening, pleural effusion, tuberculosis lymphadenitis
• VDRL/TPHA reactive

Non-infectious category
• Chronic renal failure
• Chronic hepatitis failure
• Congestive heart failure
• Hypertension
• Diabetes mellitus
• Known case of cancer
• Psychiatric disease and neurological disorders
• Physical disabilities, i.e. color blindness, deafness

sorry to miss something to say. Apollo doctor asked her to take CT scan, after CT they declared her unfit. but still they are not confirmed about the scar due to what reason.

Answered by Dr. Drkaushal85 (19 minutes later)

Brief Answer:
Have they asked something like sputum culture or bronchoscopy?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, I know they are very strict about infectious diseases.
But you can still argue with them.
Please let me know
1. Did Apollo doctor said anything about sputum culture or bronchoscopy?
Please reply me answer of above asked question, so that I can guide you better. You can argue on the basis of these reports (sputum culture and bronchoscopy).
I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (10 minutes later)

No. They did not ask about this. We told them to do sputum test. They said it is not required. Xray should be clear. thatsall. if xray shows any scar we are unfit.I spoke with khadamat integrated solution, they said they closed our file. Now my wife cannot travel to kuwait.

But we want to fight for our rights. please help us to succeed. Doctors are very rude. They worrying about penalties and business contract. They dont respect and care the public feelings and their future. They are making unfit to their own citizens for only making money.

This is a serious issue in kuwait. Now kuwait Government brought a rule to ban entry for unfits. There is no humanity from our doctors. they atleast can send the report that she do not have TB, but never know reason of the scars.If they would have sent the report like this, may be kuwait ministry of health will consider second opinion. Now we dont know what to do.

Answered by Dr. Drkaushal85 (7 minutes later)

Brief Answer:
My support is always with you.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I can feel your pain and grief.
This is ridiculous stuff from foreign countries.
I can tell you what two do next.
I am not able sure this will be helpful or not.
But you should definitely fight for this.
Please let me be clear indication few things.
1. Are you living in Kuwait?
2. Are you permanent residence of Kuwait?
3. You and your wife are not living together. She is in XXXXXXX and you are in Kuwait. Now you want her to come in Kuwait.
Is my understanding right?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (16 minutes later)

1. yes i am living in kuwait. My wife is in XXXXXXX and we just got married. I want to bring my wife on dependent visa.

2. I am on work visa, since more than 7 years.I am eligible sponsor my family to kuwait.

Answered by Dr. Drkaushal85 (14 minutes later)

Brief Answer:
Ask her to visit XXXXXXX or PGI XXXXXXX

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, she should consult apex Institute of XXXXXXX (either XXXXXXX new XXXXXXX or PGI chandigarh).
Consult pulmonologist there and get done sputum AFB culture.
If sputum is not available then she will need bronchoscopy and XXXXXXX analysis.
If sputum culture and XXXXXXX are negative for tuberculosis or other infection then you can argue with visa authority.
I think she must not have any symptoms like cough or sputum production.
Is it so?
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (14 minutes later)

Ofcourse she does not have any symptoms. she has good health. I will definetly follow your instructions. Do i need any prior appointment or any doctors prescription to go to XXXXXXX XXXXXXX if so please let me know. if you can suggest us any doctors who you know will be much better. Thanks for your support doctor.

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
No prior appointment needed.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No prior appointment is needed.
Go to XXXXXXX Opd building and ask for pulmonologist consultation. They will issue case and then she has to meet pulmonologist in opd.
Ask her today discuss in depth about her problem and issues.
Sorry to say say but I don't know any doctor there.
But I don't think any recommendations are needed.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Do let me know her progress. Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar