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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest X-ray Shows Normal Chest. Now Have Fever And Cough. Shows Pneumonia. Report Says Suspicious Infiltrates. TB?

Hello Doctor,

3 years ago I have my chest x-ray result,PTB has seen.. In the next week I tried to have my xray again to the other if I really have PTB,and the result is "NORMAL CHEST,no other findings",so I was hired for a job. A year later I have fever with cough,I went to the doctor to have check up,the finding is pneumonia,he gave me antobiotic to take after few days my cough and fever was gone. When I renewed my contract I need medical certificate again,I have my xray result with,"SUSPICIOUS INFILTRATES SEEN IN RIGHT UPPER LOBE,NEED AN APICOLORDOTIC VIEW". Does it mean I really have TB? pls help... I dont have any cough or i dont even feel anything.. thank you,god bless..
Mon, 23 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M.. Forum.
Let me explain so that you could understand whole thing.
We will discuss only about right upper lobe of lung ( as in your case).
Normally there is air in lungs on both side and this visualize as mild black color shadow in lungs.
When a person got infection ( pneumococcal or pneumonia ) his lung become white color ( due to collapse as it visualize in lung) .
After the treatment of pneumonia this portion ( infected by pneumonia) resolve and become normal as rest of lung.
Usually this treatment is of 2 to 4 weeks depending upon the nature of causative organism.
In your case one year back definitely you were a patient of pneumonia , for which you didn't take treatment .
This infection got tubercular lesion and after one year this shadow came in your lung ( when you got cough ) .
I am sorry to say that infiltration ( old tubercular lesion ) will visualize in lungs and you can't do any thing.
Now , no doubt you are free from tuberculosis but old lesion will visualize in lung.
Good luck. Dr. HET
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Chest X-ray Shows Normal Chest. Now Have Fever And Cough. Shows Pneumonia. Report Says Suspicious Infiltrates. TB?

Hello, Thanks for the query to H.C.M.. Forum. Let me explain so that you could understand whole thing. We will discuss only about right upper lobe of lung ( as in your case). Normally there is air in lungs on both side and this visualize as mild black color shadow in lungs. When a person got infection ( pneumococcal or pneumonia ) his lung become white color ( due to collapse as it visualize in lung) . After the treatment of pneumonia this portion ( infected by pneumonia) resolve and become normal as rest of lung. Usually this treatment is of 2 to 4 weeks depending upon the nature of causative organism. In your case one year back definitely you were a patient of pneumonia , for which you didn t take treatment . This infection got tubercular lesion and after one year this shadow came in your lung ( when you got cough ) . I am sorry to say that infiltration ( old tubercular lesion ) will visualize in lungs and you can t do any thing. Now , no doubt you are free from tuberculosis but old lesion will visualize in lung. Good luck. Dr. HET