The doctor who applied for a health certificate today asked me to take an X-ray. The examination items: DR chest anteroposterior radiograph; the examination method: plain radiography. Doctors: come an

The doctor who applied for a health certificate today asked me to take an X-ray. The examination items: DR chest anteroposterior radiograph; the examination method: plain radiography. Doctors: come and take a look and tell me if this is serious.

I am a senior radiologist at a tertiary hospital. I would like to give the following reply to your question for your reference. Judging from the description of chest DR, secondary pulmonary tuberculosis does need to be considered. Since the content displayed by DR is quite limited, a chest CT scan is necessary. CT can show many details that conventional chest X-ray cannot show, and has more diagnostic value. If chest CT shows exudative lesions in the lungs, as well as polymorphic changes such as fibrous lesions and small nodules, especially small cavities, the diagnosis of pulmonary tuberculosis can be made. Many tuberculosis patients do not have typical symptoms such as cough, sputum production, low-grade fever, or even any respiratory symptoms. Moreover, the apex of the lungs (including the upper left lung) is a common site for tuberculosis. If you have no respiratory symptoms, you should consider tuberculosis. In addition to chest CT, it is also necessary to check sputum, erythrocyte sedimentation rate, and PPD. It needs to be emphasized that the diagnosis of pulmonary tuberculosis cannot entirely rely on the results of sputum bacteria. That is to say, even if the sputum bacteria is negative, the possibility of pulmonary tuberculosis cannot be ruled out. Comprehensive analysis needs to be combined with other auxiliary examinations to draw a more accurate conclusion. It is best to go to the respiratory medicine or infectious diseases department of a large or medium-sized formal hospital.