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 X ray abnormality lung, white area

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TSBaDKiDz
post Oct 18 2018, 03:50 AM, updated 6y ago

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Hi guys, recently i do medical checkup on xray..
I went to Gulf Country and checkup here

My left lung have remarks with written as "Illdefined reticular opacities in left upper zone"

Then they suspect TB, they took my phlegm check..
After 3 weeks, result out written No H+ cough, no fever.
3AFB, genexpert were -ve, sputum culture await.
Need pulmonologist 2nd opinion to rull out active TB.

Then today i went to pulmonologist, he check my breath, blood pressure , heart rate.. he say normal.
Then took my blood sample , and he request HRCT scan.
In the report request he write " ? Interstitial lung disease ? Koch disease "

I barely read all these doctor writing..
i not understand on sputum culture await, i read some google it said meaning they check my sputum see got fungi or bacteria or not?
but they said genexpert were -ve.. meaning i might not have tb but maybe have some bacteria?

I read alot and driving me crazy, hopefully lyn have some expert can give me free opinion or some one have same scenario as me.
ILD can cause death and TB is cureable by medicine.. I am so worried now...

I not sure these doctor want to claim all my medical card or my health really got problem.. so far i have some small coughing sometimes because i catch cold..
sorry for the long essay.. no trolling plz

update: I asked the blood test, they took measure CBC, CRP, ESR and CREATININE. not sure what they trying to check.

My previous normal report also took this before, tomorrow will consult the doctor on this blood report
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This post has been edited by BaDKiDz: Oct 22 2018, 01:40 AM
danieln
post Oct 18 2018, 06:30 AM

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why not seek 2nd opinion if the doctor can't give you any answers?
Roman Catholic
post Oct 18 2018, 01:05 PM

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QUOTE(BaDKiDz @ Oct 18 2018, 03:50 AM)
Hi guys, recently i do medical checkup on xray..
I went to Gulf Country and checkup here

My left lung have remarks with written as "Illdefined reticular opacities in left upper zone"

Then they suspect TB, they took my phlegm check..
After 3 weeks, result out written No H+ cough, no fever.
3AFB, genexpert were -ve, sputum culture await.
Need pulmonologist 2nd opinion to rull out active TB.

Then today i went to pulmonologist, he check my breath, blood pressure , heart rate.. he say normal.
Then took my blood sample , and he request HRCT scan.
In the report request he write " ? Interstitial lung disease ? Koch disease "

I barely read all these doctor writing..
i not understand on sputum culture await, i read some google it said meaning they check my sputum see got fungi or bacteria or not?
but they said genexpert were -ve.. meaning i might not have tb but maybe have some bacteria?

I read alot and driving me crazy, hopefully lyn have some expert can give me free opinion or some one have same scenario as me.
ILD can cause death and TB is cureable by medicine.. I am so worried now...

I not sure these doctor want to claim all my medical card or my health really got problem.. so far i have some small coughing sometimes because i catch cold..
sorry for the long essay.. no trolling plz
*
Age & do you feel lethargic or cold ?

This post has been edited by Roman Catholic: Oct 18 2018, 01:07 PM
TSBaDKiDz
post Oct 18 2018, 06:25 PM

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QUOTE(danieln @ Oct 18 2018, 06:30 AM)
why not seek 2nd opinion if the doctor can't give you any answers?
*
Seek d... Waiting for hrct.. But its seems like so serious when I heard this hrct

QUOTE(Roman Catholic @ Oct 18 2018, 01:05 PM)
Age & do you feel lethargic or cold ?
*
Lethargic maybe if I have ntg to do? Cold no.. Just like normal..
QUOTE(chibyelong @ Oct 18 2018, 01:07 PM)
show lung xray here
*
Updated
Roman Catholic
post Oct 18 2018, 07:06 PM

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QUOTE(BaDKiDz @ Oct 18 2018, 06:25 PM)
Seek d... Waiting for hrct.. But its seems like so serious when I heard this hrct
Lethargic maybe if I have ntg to do? Cold no.. Just like normal..

Updated
*
Age please ?

Did you come down with fever or anything else within the last 2 months in which you did self-medication or did you visit a doctor ?

At this juncture, I highly recommend that you be in an air-conditioned room until a exact diagnosis is made.

This post has been edited by Roman Catholic: Oct 18 2018, 07:07 PM
Blofeld
post Oct 18 2018, 10:09 PM

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The sputum test might not be entirely accurate.

Have u taken any tuberculin skin test?

How about any QFT blood test?

Anyway, just wait to do the HRCT scan.
kamfoo
post Oct 18 2018, 10:29 PM

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How bad is ur coughing in
SUSslimey
post Oct 18 2018, 10:34 PM


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QUOTE(Roman Catholic @ Oct 18 2018, 07:06 PM)
Age please ?

Did you come down with fever or anything else within the last 2 months in which you did self-medication or did you visit a doctor ?

At this juncture, I highly recommend that you be in an air-conditioned room until a exact diagnosis is made.
*
why?
TSBaDKiDz
post Oct 19 2018, 01:32 AM

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QUOTE(Roman Catholic @ Oct 18 2018, 07:06 PM)
Age please ?

Did you come down with fever or anything else within the last 2 months in which you did self-medication or did you visit a doctor ?

At this juncture, I highly recommend that you be in an air-conditioned room until a exact diagnosis is made.
*
27.. fever in past 2 month? not very sure or remember.. i think this 2 month didn't have fever.. i get cough n flu last few week..
why need to be aircond room? reduce cough?

QUOTE(Blofeld @ Oct 18 2018, 10:09 PM)
The sputum test might not be entirely accurate.

Have u taken any tuberculin skin test?

How about any QFT blood test?

Anyway, just wait to do the HRCT scan.
*
will HRCT scan get a final conclusion or there is still many other scan? i only took sputum so far, skin didn't take.. QFT i not sure, i get a blood test on my yesterday visit.

QUOTE(kamfoo @ Oct 18 2018, 10:29 PM)
How bad is ur coughing in
*
my coughing not consistent.. when i dont drink cold, i seldom cough or small cough, it worsen when i drink too much cold..

QUOTE(slimey @ Oct 18 2018, 10:34 PM)
why?
*
same question

DXBMAN
post Oct 19 2018, 06:56 AM

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1) do you smoke? Ur lung seen no very clear


2) do u encounter weight loss?

3) left hand size is heart...ur heart seem small..
SUSslimey
post Oct 19 2018, 09:13 AM


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QUOTE(DXBMAN @ Oct 19 2018, 06:56 AM)
1) do you smoke? Ur lung seen no very clear
2) do u encounter weight loss?

3) left hand size is heart...ur heart seem small..
*
Heart size normal la.
Read more about body habitus on X-ray.
psyduck89
post Oct 19 2018, 10:13 AM

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go visit another doctor n see?? hmm.gif
Blofeld
post Oct 19 2018, 02:34 PM

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QUOTE(BaDKiDz @ Oct 19 2018, 01:32 AM)
27.. fever in past 2 month? not very sure or remember.. i think this 2 month didn't have fever.. i get cough n flu last few week..
why need to be aircond room? reduce cough?
will HRCT scan get a final conclusion or there is still many other scan? i only took sputum so far, skin didn't take.. QFT i not sure, i get a blood test on my yesterday visit.
my coughing not consistent.. when i dont drink cold, i seldom cough or small cough, it worsen when i drink too much cold..
same question
*
Nope. The CT scan will not give you an ultimate diagnosis for TB.

But why do you do the medical check-up in the first place?

Was it for employment purpose or are you currently not feeling well?

If it's for employment purpose just to rule out TB, you can request for the QFT blood test. This is the more accurate blood test.

If you are already not feeling well and you want to be more certain whether you have TB, you can request for a bronchoscopy.
TSBaDKiDz
post Oct 19 2018, 05:33 PM

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QUOTE(DXBMAN @ Oct 19 2018, 06:56 AM)
1) do you smoke? Ur lung seen no very clear
2) do u encounter weight loss?

3) left hand size is heart...ur heart seem small..
*
I don't smoke in the past and now. my weight is always underweight in bmi ratio since my younger age till now.

QUOTE(slimey @ Oct 19 2018, 09:13 AM)
Heart size normal la.
Read more about body habitus on X-ray.
*
I read some, its about fat layer?

QUOTE(psyduck89 @ Oct 19 2018, 10:13 AM)
go visit another doctor n see??  hmm.gif
*
1st place is xray, I wend 2nd place as the first place no pulmonologist, I bring the film with me.
now waiting hrct
QUOTE(Blofeld @ Oct 19 2018, 02:34 PM)
Nope. The CT scan will not give you an ultimate diagnosis for TB.

But why do you do the medical check-up in the first place?

Was it for employment purpose or are you currently not feeling well?

If it's for employment purpose just to rule out TB, you can request for the QFT blood test. This is the more accurate blood test.

If you are already not feeling well and you want to be more certain whether you have TB, you can request for a bronchoscopy.
*
HRCT scan can give me how many % accuracy? QFT test accuracy how high as well?
I take this medical check up because its country requirement for my employment purpose.
I didn't feel any serious sickness, this xray and sputum test on September. . Early oct I have some flu and cough ( I think I get cold) didn't see doctor, in 1 week time I recovered, but I still have some small cough (maybe cough a few times in 24hr) ..
jin^manusia
post Oct 19 2018, 05:51 PM

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Take pure honey starting today, you will see improvement soon... , Start jogging to improve your body inmunity...yah.. stop mamak or what ever, eat healthy as u could.. no sugar.. more nuts n seeds...
Yggdrasil
post Oct 19 2018, 08:06 PM

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QUOTE(BaDKiDz @ Oct 18 2018, 03:50 AM)
Hi guys, recently i do medical checkup on xray..
I went to Gulf Country and checkup here

My left lung have remarks with written as "Illdefined reticular opacities in left upper zone"

Then they suspect TB, they took my phlegm check..
After 3 weeks, result out written No H+ cough, no fever.
3AFB, genexpert were -ve, sputum culture await.
Need pulmonologist 2nd opinion to rull out active TB.

Then today i went to pulmonologist, he check my breath, blood pressure , heart rate.. he say normal.
Then took my blood sample , and he request HRCT scan.
In the report request he write " ? Interstitial lung disease ? Koch disease "

I barely read all these doctor writing..
i not understand on sputum culture await, i read some google it said meaning they check my sputum see got fungi or bacteria or not?
but they said genexpert were -ve.. meaning i might not have tb but maybe have some bacteria?

I read alot and driving me crazy, hopefully lyn have some expert can give me free opinion or some one have same scenario as me.
ILD can cause death and TB is cureable by medicine.. I am so worried now...

I not sure these doctor want to claim all my medical card or my health really got problem.. so far i have some small coughing sometimes because i catch cold..
sorry for the long essay.. no trolling plz

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Do you work in construction?
Blofeld
post Oct 20 2018, 09:46 AM

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QUOTE(BaDKiDz @ Oct 19 2018, 05:33 PM)

HRCT scan can give me how many % accuracy? QFT test accuracy how high as well?
I take this medical check up because its country requirement for my employment purpose.
I didn't feel any serious sickness, this xray and sputum test on September. . Early oct I have some flu and cough ( I think I get cold) didn't see doctor, in 1 week time I recovered, but I still have some small cough (maybe cough a few times in 24hr) ..
*
For how accurate it is, you can ask the doctor biggrin.gif

Anyway, since you are still healthy and not sick, perhaps it's just a latent TB infection. That's means the TB is not active yet. That's why your sputum is negative for TB.

Or maybe it's not TB after all. Maybe it's some other lung inflammation which is not so serious.

That's why you have to take several tests to find out the cause.

No one single test will give you or the doctor an answer.
TSBaDKiDz
post Oct 20 2018, 03:19 PM

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QUOTE(jin^manusia @ Oct 19 2018, 05:51 PM)
Take pure honey starting today, you will see improvement soon... , Start jogging to improve your body inmunity...yah.. stop mamak or what ever, eat healthy as u could.. no sugar.. more nuts n seeds...
*
I in other country now.. Arabic food mostly is meat n less vege.. Normally eat Arabic food or fast food or salad..

QUOTE(Yggdrasil @ Oct 19 2018, 08:06 PM)
Do you work in construction?
*
No... But in this Arabic place alot of dust cz of desert.. My report is took after I came 2nd day I guess its like this during in Malaysia..

QUOTE(Blofeld @ Oct 20 2018, 09:46 AM)
For how accurate it is, you can ask the doctor  biggrin.gif

Anyway, since you are still healthy and not sick, perhaps it's just a latent TB infection. That's means the TB is not active yet. That's why your sputum is negative for TB.

Or maybe it's not TB after all. Maybe it's some other lung inflammation which is not so serious.

That's why you have to take several tests to find out the cause.

No one single test will give you or the doctor an answer.
*
Other lung inflammation? Hopefully ntg serious... I can't be in this country if I have tb or and disease /infection..
az89
post Oct 20 2018, 04:12 PM

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The cxr image not on diagnostic value, but definitely something going on your left upper lung.
That kinda lung patch/scar looking usually seen on patient with TB regardless it active or not.

If the TB active you should be worried. The patch will be bigger/worst when you go for follow up x-ray.

If it is old scar resulting from your previous lung infection( could be pneumonia and a bunch of other stuff) Doctor still need to do all those tb,sputum ,etc test just to make sure you’re clear from any risk of active TB infection.

I’ve seen few patient come with xray like that but when go for tb test come out as normal.

If all wahtever test doctor suggest you turn out normal....just safely assume it’s not an active infection...just an old lung scar.

Just do regular follow up based on doctor recommendation. It could be a month,3 month,6month or yearly check up..just to see the progress of that lung pacth.


Yggdrasil
post Oct 20 2018, 07:00 PM

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Just hope it isn't pneumonoultramicroscopicsilicovolcanoconiosis. Construction workers in China without protective gear have this causing their lungs to turn to stone. This is cause by inhaling fine sand and dust.

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