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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Minimal Infiltrate In Upper Lobe In Chest X-ray Suggest?

hi good day!!i have question.. My husband is having xray yesterday for his 1 of requirments.. the result of the xray was this Pulmonary Koch s Infection. minimal infiltrate in the left upper lobe with at 1.7 cavity. i just wanted to understand whats the meaning of this because he has a previous illness before about tuberculosis..also known as TB.plz i really need the answer.
Mon, 8 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem. Your husband' s current x ray report says he is having cavity with fresh infiltration. These mean active TB infection.Cavitory lesion on chest x ray has high chances of having active, infectious TB.
If he has previous TB than this can be a healed lesion. But for this you need
1. CT THORAX
2. Bronchoscopy and BAL ( Broncho Alveolar Lavage ) analysis for TB.
CT THORAX gives excellent visualization of lung parenchyma and much better imaging modality than chest x ray.
So if both are negative for TB than this is probably due to past tb infection.
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What Does Minimal Infiltrate In Upper Lobe In Chest X-ray Suggest?

Thanks for your question on HCM. I can understand your situation and problem. Your husband s current x ray report says he is having cavity with fresh infiltration. These mean active TB infection.Cavitory lesion on chest x ray has high chances of having active, infectious TB. If he has previous TB than this can be a healed lesion. But for this you need 1. CT THORAX 2. Bronchoscopy and BAL ( Broncho Alveolar Lavage ) analysis for TB. CT THORAX gives excellent visualization of lung parenchyma and much better imaging modality than chest x ray. So if both are negative for TB than this is probably due to past tb infection.