Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the x ray report you have attached. This is more suggestive of old, healed, fibrotic lesions due to previous tuberculosis or pneumonia. Pleural thickening, reduced lung volumes, pulled hila etc are classical features of old lesions. Cavitory lesions with thin wall suggestive of active disease. But cavitory lesion with thick walls is more likely due to old infection. So no need to worry much. Get done sputum examination for AFB (acid fast bacilli - bacteria causing tuberculosis). If this is normal then no need to worry for active tuberculosis and hence no treatment required. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.