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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The Visibility Of Scar On The Lung In X-ray?

Good day! I am 26yrsold, 5 ft tall & weighing 48kgs.

I was diagnosed with PTB yr 2001. I am asymptomatic that time, I cant believe when I got my xray result. I already finished my treatment.

I had my pre-emp medical exam & UNFIT by one of the accredited GAMCA clinic eventhough I have fit to work medical clearance from my doctor. I am currently applying as a nurse bound to KSA. What should I do? The problem is scar always appear on my xray.

I also have my fit to work medical clearance from Lung Center of the Philippines. I took some lab test there like AFB sputum test & the result is all negative since I was diagnosed.The doctor said that the scar appeared in my x-ray is stable from 2003-present.

Im wondering if I am infectious, why I am the only one in the family had this & none of my friends got infected.

Kindly help me is any other way I can do for me to get fit to work & work in GCC countries? I really want to help my family in easiest way but this kind of discrimination prevent me from doing so..

Is there any other test we can take in GCC countries to PROVE that we dont have active PTB or we are free from infecting others?

Thank you very much & hoping for your favorable response.



Here is the result of my latest x-ray

Development of left upper lung fibroreticular PTB lesions with volume loss, subtle underlying bronchiectasis and apicopleural thinckening in the 2003 study which remain stable up to the recent studies
Mon, 6 Oct 2014
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Pulmonologist 's  Response
Thanks for your question on HCM. I am seeing lot many patients in my daily practice with similar problems. In old TB patients I follow these steps.
1. CT Thorax with contrast.
2. Bronchscopy and BAL (Broncho Aleolar Lavage) for AFB.
3. BAL culture for AFB.
As a rule CT gives more idea about the parenchyma and activity of the disease. And Bronchoscopy and BAL is far superior than sputum test for diagnosing infection. So consult pulmonologist and get done above mentioned things to prove that you are not infectious and not having active TB.
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What Causes The Visibility Of Scar On The Lung In X-ray?

Thanks for your question on HCM. I am seeing lot many patients in my daily practice with similar problems. In old TB patients I follow these steps. 1. CT Thorax with contrast. 2. Bronchscopy and BAL (Broncho Aleolar Lavage) for AFB. 3. BAL culture for AFB. As a rule CT gives more idea about the parenchyma and activity of the disease. And Bronchoscopy and BAL is far superior than sputum test for diagnosing infection. So consult pulmonologist and get done above mentioned things to prove that you are not infectious and not having active TB.