Suggest remedy for fibrohazed infiltrates in the right upper lobe
Patient: hi doc, my friend got her chest apicolordotic result and it said she had a fibrohazed infiltrates seen in the right upper lobe compatible with PTB of undetermined activity? does she needs to take the isoniaziz, rifampicin, ethambuthanol. she fears she might relieve from work. hope to here from you. thanks Doctor: Thanks for your question on HCM. In my opinion she should undergo CT THORAX and Bronchoscopy and BAL ( Broncho Alveolar Lavage ) analysis for TB,  to determine activity of the lesion.No need to give prophylactic anti Tb drug before confirming activity of the lesion.As fibrotic lesion is seen mostly after healing from old infection. So may be she is having only scar lesion and not active lesion.So no need to give anti Tb drugs. Better to consult pulmonologist first and get done CT THORAX and Bronchoscopy to determine activity.  And start treatment accordingly.