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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned For The Suspicious Thickening Of Linear Densities Of The Lung?

hi my friend is applying overseas but there is a problem on her xray.last 2010 the result of chest PA was suspicious thickened linear densities, right upper lobe. and chest pa and lordotic view was band of fibrotic scarring right suprahilar. region, what's the difference? she took for a second opinion ang undergo for ct scan but is negative,, aftr 3 yrs staying abroad for work she want to comeback and nw took again for an xray and rhe result was a linear fibrotic density and a small nodular opacity are seen in theright suprahilar region.consider koch's etiology.the heart and rest of the chest structures are remarkable? what is the difference of the 2010 result on hr result nw? is there any cure or preventions? coz she was never diagnosed of having a ptb.she sometimes had cough...but maybe its the result of changed weather, now she was given a medicine to take clarithromycin for 7 days, coz the findings of the doctor was pneumonia vs ptb (undetermined activity) right suprahilar area, the doctor said if she comply to the medication after 7 days she will having an xray if its the findings was gone then its pneumonia and if its not it is a ptb?can you pls help me to understand what is the real condition of my friend coz she is now hopeless..and thinking she she can never go abroad for work, being jobless here in philippines is difficult...the future of her family is at stak.thanks...
posted on Fri, 14 Mar 2014
Twitter Sat, 11 Jul 2015 Answered on
Twitter Mon, 13 Jul 2015 Last reviewed on
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your friend's situation and problem.
Current x ray findings and previous findings are almost same.
This suggest that your friend is having old, healed, inactive scar tissue.
To solve visa problem, I advise her to consult pulmonologist and get done
1. CT thorax with Contrast.
2. Bronchoscopic evaluation and BAL (bronchoalveolar lavage) analysis.
CT thorax is superior than chest x ray in diagnosis of old scar lesions.
Bronchoscopy and BAL are also more diagnostic in diagnosis of active infection.
If both of these are negative for active tuberculosis than, she can argue with visa authority about not having active, infectious disease and the lesions seen on chest x ray are old, healed, inactive, fibrotic lesions.
So ask her to consult pulmonologist and discuss all these.
Hope I have solved your query.
Wishing good health to your friend. Thanks.
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Should I Be Concerned For The Suspicious Thickening Of Linear Densities Of The Lung?

Thanks for your question on Health Care Magic. I can understand your friend s situation and problem. Current x ray findings and previous findings are almost same. This suggest that your friend is having old, healed, inactive scar tissue. To solve visa problem, I advise her to consult pulmonologist and get done 1. CT thorax with Contrast. 2. Bronchoscopic evaluation and BAL (bronchoalveolar lavage) analysis. CT thorax is superior than chest x ray in diagnosis of old scar lesions. Bronchoscopy and BAL are also more diagnostic in diagnosis of active infection. If both of these are negative for active tuberculosis than, she can argue with visa authority about not having active, infectious disease and the lesions seen on chest x ray are old, healed, inactive, fibrotic lesions. So ask her to consult pulmonologist and discuss all these. Hope I have solved your query. Wishing good health to your friend. Thanks.