Hi Welcome to hcm Patchy lesion may suggest Pulmonary tuberculosis but not a confirmatory diagnosis. For every pulmonary tuberculosis need 1 Chest Xray PA view 2. Sputum Examination of 2 consecutive days at least. ( very important test) 3 Mountux Test 4 CBC with ESR Sputum examination is very important and essential test because every Positive test report indicate with grading. and required repeat test atleast on 2 , 4, and6 th months. If it comes positive in duration of Tuberculosis then need work up on MDR tb. IF no expectoration or sputum is negative and Xray is suggestive for tuberculosis then no need to start Anti Tuberculosis Treatment ( ATT). Then need High dose of antibiotic for 14 days and repeat xray and sputum. IF symptom like cough still persistent and patchy lesion still persistant then start ATT. But in my opinion Do CECT CHEST andsputum examination . if patchy lesion is suggestive for active tb then start same AKT4 The way which she prescribed is wrong . Try all Capsule in Kit within 30 minutes and Rifampicin in empty stomach. Don t start ATT only on chest xray. If you resident of Delhi please visit LRS hospital in Mehrauli or any Chest Physician in Private Hospital. Because the way of taking ATT is wrong so she may be over diagnose .