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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Right Upper Lobe Activity Undetermined With History Of TB Indicate?

Hi, im 27 yrs, old. I have history of TB. i go to health center, i take my medecine 112 days. Every 2months, i pass my sptum and the result is negative. then i apply work outside the country my emplyer got my exam result, on june 2,2014. and the reslt is. UNFIT: PTB RIGHT UPPER LOBE ACTIVITY UNDETERMINED. what did i do.? go to health center again and take another medecine.? PLS. advice. thank you god bless and more power.
Wed, 21 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Tuberculosis of lung once healed can produce fibrosis and calcification and this appears on chest x ray for rest of the life. So every time you are not suppose to take anti TB treatment. I advice you to consult pulmonologist and get done
1. CT thorax
2. Bronchoscopy and BAL ( Bronchoalveolar lavage) analysis for tuberculosis.
CT thorax gives better idea about lung fibrosis than chest x ray.
Bronchoscopy with BAL is far superior than sputum in determining activity.
So if both are negative than you can argue with fitness authority about not having active,infectious disease.
So consult pulmonologist and discuss all these.
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What Does Right Upper Lobe Activity Undetermined With History Of TB Indicate?

Thanks for your question on HCM. I can understand your situation and problem. Tuberculosis of lung once healed can produce fibrosis and calcification and this appears on chest x ray for rest of the life. So every time you are not suppose to take anti TB treatment. I advice you to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAL ( Bronchoalveolar lavage) analysis for tuberculosis. CT thorax gives better idea about lung fibrosis than chest x ray. Bronchoscopy with BAL is far superior than sputum in determining activity. So if both are negative than you can argue with fitness authority about not having active,infectious disease. So consult pulmonologist and discuss all these.