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Sir is it Really TB
Dad coughing from december.M sending CT scan and FNAC report. The CT scan report findings are: LUNGS: a large heterogeneously enhancing lesion measuring approx. 7.43cm×4.38cm×8.25cm in CS & CC dimensions is noted in the superior segment of left lower lobe. The lesion is causing attenuation and cut off the segmental branch of the bronchus.Two calcified nodules are seen in postero-basal segment of right lower lobe. Suggests possibility of mitotic etiology, However FNAC is advised to rule out other possibilities. PLEURA:There is mild pleural effusion. Mediastinum: Medialtinal structures are FNAC TEST RESULT IS: Microscopic examination: Smeats shows many epithelioid cell granulomas with multinucleated gaint cells, histiocytes and inflamatory tissue debris.Malignant cells are not seen. Z.N. Stain:-AFB not found. Impression: Granulomatous Inflammatory lesion. 1)Tuberculosis 2)Sarcoidosis. Doctor said its TB. sir is it really TB?.after start taking medcin since 10days coughing decreased.
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Granuloma forms in tb only, its not sarcoidosis, continue the treatment as of now,  see for a month if not improving repeat fnac and send for genexpert.
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Looks like TB. Pls send the sample for afb culture and genxpert for confirmation of tb
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.