
What Does This CT Scan Report Indicate?

You should definitely consult pulmonologist and rule out tuberculosis.
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Yes, recurrent lung infection at the same site is not uncommon.
So recurrent lung water the same part of lung is seen.
Your CT report is suggestive of bronchial wall thickening and tree in bud appearance.
You are also having upper lobe involvement.
So all these are suggestive of tuberculosis more.
Rheumatoid arthritis is also causing lung infection like tuberculosis.
So we should first rule out tuberculosis in your case.
And so better to consult pulmonologist and discuss all these. You should get done sputum examination, bronchoscopy and XXXXXXX (bronchoalveolar lavage) analysis to rule out tuberculosis.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.


Sorry, it was typing error.
Detailed Answer:
Thanks for your follow up question on HCM.
I am extremely sorry. It was typing error.
I meant lung infection, not lung water.
I was trying to say that recurrent lung infection can occur at same site in lung.
So, sorry for my mistake.
I will be happy to help you further.
Wish you good health. Thanks.


Possibility of whooping cough is less.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Whooping cough is caused by pertusis bacteria.
And usually we all are vaccinated for pertusis in childhood.
So at the age of 37 possibility of pertusis is extremely low.
Tree in bud appearance with bronchial wall thickening and that to in upper lobe and with history of rheumatoid arthritis are favouring more towards tuberculosis.
Another favouring thing is recurrent infection. Tuberculosis has tendency to relapse after 2-3 months at same site.
So please let me know
1. What are your exact symptoms at present?
2. Do you have fever, cough, chest pain, breathlessness?
3. Do you have weight loss, decreased appetite?
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.


Which was that blood test?
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Which was that blood test? It was mostly antibody test for pertusis. It is positive in vaccinated individuals.
And your symptoms are not improving even after treatment of pertusis.
So pertusis is unlikely in your case.
Please let me know
1. Which was that blood test?
2. Have you taken vaccine for tuberculosis in childhood?
3. Which treatment you took for pertusis?
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.


Possibility of tb is more.
Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Possibility of fungal infection is less likely.
Fungal infection is more common in immunocompromised patients.
Immunocompromised patients include patients on long term steroid therapy, cancer patients taking chemotherapy, HIV positive patients etc.
So fungal infection is less likely.
Possibility of tb is more.
Both, tb and fungal infection are chronic infections.
So both are slow growing.
So better to consult pulmonologist and rule out tuberculosis.
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 XXXX
Wish you good health. Thanks.

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