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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This X-ray Report Mean - Fibrohazed Infiltrates Seen In Both Upper Lobes Compatible With PTB With Undetermined Activity

Hi Doctor, My mom had a recent X-ray (5 days ago)and the findings were: Fibrohazed infiltrates are seen in both upper lobes compatible with PTB with undetermined activity. She 60 years old and never had PTB ever and symptoms of TB is not seen on her right now. She never coughs nor is she losing weight. She sometimes tells me that her back aches a little bit after a strenuous activity like laundry. Can you please help shed some light on this? I appreciate your feedback.
Fri, 28 Mar 2014
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Pulmonologist,  's  Response
Hello,
bilateral fibrous hazy upper lobe infiltrates are indicative of old pulmonary TB the history of whcih many a times patient cannot elicit. As fibosis is there and there is absence of systemic symptoms like what you mentioned indicates inactive lesion. No evidence of active pulmonary TB is present right now. Sometimes ankylosing spondylitis may cause such shadows on chest x-ray with history of severe back pain which needs to be excluded by serum estimation of HLA B27 and also you need to go for sputum for acid-fast bacilli. You need not to worry for that. You may send the report to me on HCM for opinion.
Thank you.
Regards,
Dr Arnab Maji
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What Does This X-ray Report Mean - Fibrohazed Infiltrates Seen In Both Upper Lobes Compatible With PTB With Undetermined Activity

Hello, bilateral fibrous hazy upper lobe infiltrates are indicative of old pulmonary TB the history of whcih many a times patient cannot elicit. As fibosis is there and there is absence of systemic symptoms like what you mentioned indicates inactive lesion. No evidence of active pulmonary TB is present right now. Sometimes ankylosing spondylitis may cause such shadows on chest x-ray with history of severe back pain which needs to be excluded by serum estimation of HLA B27 and also you need to go for sputum for acid-fast bacilli. You need not to worry for that. You may send the report to me on HCM for opinion. Thank you. Regards, Dr Arnab Maji