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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "Suspicious Densities Are Seen In Both Apices" Suggest?

hello Doc, I had PTB class3 in 2011 then i had medication for 6 months the medication was successful. Then i had chest xray again 2013 find out that there is PTB again i undergone 6months of medication and after that had my xray again then the findings is "SUSPICIOUS DENSITIES ARE SEEN IN BOTH APICES". I am very much worried with my condition. why it keeps coming back when I dont smoke and I do not have cough. please give me an advice doc. I hope you can help me. thank you very much for your time.
Thu, 26 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you are having fibrotic lesions in upper lobes due to previous tuberculosis.
Tuberculosis lesions, after treatment heal by either fibrosis or calcification. And they produce permanent scar which can be seen life long.
Since you are not symptomatic at present, I advice you to consult pulmonologist and get done
1. CT thorax
2. Bronchoscopy and BAL ( Bronchoalveolar lavage ) analysis to rule out tuberculosis.
If both are negative for active tuberculosis then you are not suffering from tuberculosis and thus no treatment is needed.
Your x ray findings are mostly due to previous tb Infection.
So consult pulmonologist and discuss all these.
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What Does "Suspicious Densities Are Seen In Both Apices" Suggest?

Thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having fibrotic lesions in upper lobes due to previous tuberculosis. Tuberculosis lesions, after treatment heal by either fibrosis or calcification. And they produce permanent scar which can be seen life long. Since you are not symptomatic at present, I advice you to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAL ( Bronchoalveolar lavage ) analysis to rule out tuberculosis. If both are negative for active tuberculosis then you are not suffering from tuberculosis and thus no treatment is needed. Your x ray findings are mostly due to previous tb Infection. So consult pulmonologist and discuss all these.