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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Irregular Densitites In Right Upper Lobe Mean?

good day! my husband is a seaman. he will go back to work and one of the requirement is the medical test. one of the result is he has an irregular densities are seen in the right upper lobe. the impression is PTB;right upper lobe.. what is this all about? Is it curable? Is it contagious and he will fit for work? What medication he needs? He is a smoker.Thanks.
posted on Sun, 10 Aug 2014
Twitter Sat, 1 Nov 2014 Answered on
Twitter Mon, 3 Nov 2014 Last reviewed on
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Pulmonologist,  's  Response
Ghanks for your question on HCM.
There are many causes for right upper lobe lesion.
1. TB
2. Pneumonia
3. Bronchiectasis etc.
TB is very common in smokers due to poor lung defence. So your husband may have TB.
Better to consult pulmonologist and get done sputum examination and bronchoscopy and BAL analysis for TB.
If he founds positive than he should start Anti TB drugs for 6 months.
First 2 months H (isoniazide), R (rifampicin),Z (pyrazinamide), E (ethambutol) and next 4 months HR only.
And yes during 1st moth he is infectious.
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What Does Irregular Densitites In Right Upper Lobe Mean?

Ghanks for your question on HCM. There are many causes for right upper lobe lesion. 1. TB 2. Pneumonia 3. Bronchiectasis etc. TB is very common in smokers due to poor lung defence. So your husband may have TB. Better to consult pulmonologist and get done sputum examination and bronchoscopy and BAL analysis for TB. If he founds positive than he should start Anti TB drugs for 6 months. First 2 months H (isoniazide), R (rifampicin),Z (pyrazinamide), E (ethambutol) and next 4 months HR only. And yes during 1st moth he is infectious.