Without having a look at CT scan it may not be possible to give a correct diagnosis. However he needs to be investigated to rule out tubercular infection( which seems unlikely if the initial diagnosis of TB was confirmed and he has taken drugs regularly), other nontubercular infection. He will definitely require endoscopy/ bronchoscopy, possibly CT guided biopsy of lung lesions. It will be better if he is managed by super specialist in chest diseases who is DM in pulmonary medicine or at least by an MD in pulmonary medicine
Answered2017-01-27 14:34:24
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