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X-ray Showed Calcified Granuloma In The Right Apex. What Is The Treatment?

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Posted on Sat, 25 Aug 2012
Question: My X-ray done 3 years ago revealed calcified granuloma in the right apex. what is the treatment? I'm working with kids is this dangerous?
doctor
Answered by Dr. Aparna Kohli (2 hours later)
Hi,
Thanks for writing in.
A calcified granuloma in the right apex could be due to several reasons. This can include a Histoplasma infection, tuberculosis, berylliosis, syphilis, sarcoidosis, Crohn’s disease, and some autoimmune disorders like Churg-Strauss syndrome, and Wegener’s granulomatosis. I would like to know if you have any issues like chronic cough, fever, weight loss, loss of appetite , bleeding from any site or anything unusual that you have noticed.
I think we'd also like to do a tuberculin test for you to rule out tuberculosis. I dont think its XXXXXXX However, if it does turn out to be tuberculosis ( the possibility of which is quite low), you could transmit it to children. Otherwise, you should not be worried about anything. The treatment would depend on the cause.
Awaiting your reply
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aparna Kohli (3 hours later)
No I dont have those symptoms. But I'm PPD positive already long before the xray.
doctor
Answered by Dr. Aparna Kohli (18 minutes later)
Hi,
Thanks for writing in.
If you're PPD positive then the calcified granuloma could represent pulmonary tuberculosis. I think the next step here would be to do a sputum exam and culture for acid fast bacilli. If this negative, then nothing needs to be done. In the unlikely possibility that this is positive, you would need 6 months treatment with anti-tubercular drugs ( like isoniazid, rifampicin, pyrizinamide and ethambutol).
I hope that answers your questions
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Aparna Kohli

General & Family Physician

Practicing since :2009

Answered : 983 Questions

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X-ray Showed Calcified Granuloma In The Right Apex. What Is The Treatment?

Hi,
Thanks for writing in.
A calcified granuloma in the right apex could be due to several reasons. This can include a Histoplasma infection, tuberculosis, berylliosis, syphilis, sarcoidosis, Crohn’s disease, and some autoimmune disorders like Churg-Strauss syndrome, and Wegener’s granulomatosis. I would like to know if you have any issues like chronic cough, fever, weight loss, loss of appetite , bleeding from any site or anything unusual that you have noticed.
I think we'd also like to do a tuberculin test for you to rule out tuberculosis. I dont think its XXXXXXX However, if it does turn out to be tuberculosis ( the possibility of which is quite low), you could transmit it to children. Otherwise, you should not be worried about anything. The treatment would depend on the cause.
Awaiting your reply
Regards