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PTB Minimal
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PTB Minimal

I recently had a chest x-ray for a pre-employment physical. The results stated that "there are nodulohazed infiltration in left lung field" and an impression "PTB mimimal, left". I had a previous radiogragh result and suggested that " to have a apicolordotic view"? what does it mean? What is Nodulohazed infiltration, PTB minimal, and apicolordotic view mean?
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Avatar_m_tn
Hi madonna_star, Welcome to MedHelp.

It's best to ask your physician, but nodulhazed infiltration just basically means small collections of cells/pus/air that are usually the result of an infection/inflammatory process. PTB minimal means their is minimal evidence of pulmonary tuberculosis. Apicolordotic view is just taking an x- ray of your lungs from the back and/or from above to get a better view of the infiltrates.

I won't be concerned about malignancy, cancerous nodules are usually large like 1cm and bigger. The higher densities they are seeing now may even clear up if you have/had a recent chest infection.

I think they are mainly trying to screen you for active pulmonary tuberculosis.

Take care
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888262_tn?1241158516
What are the possible cure on this? Or how  should I prevent this to avoid leading to PTB?
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Avatar_m_tn
What are the possible cures for this? I can't really speculate not knowing your symptoms or lack of symptoms. If your not having any symptoms of chest infection, then it is probably left over immune cells, pus, fluid from a previous infection. Which could have been from any pathogen that overpopulated in the lungs causing bronchitis or pneumonia.

How can I avoid this from leading to PTB? Tuberculosis is caused by a specific bacteria, ways to find out if you have active TB would be a tuberculin skin test, and/or testing of tuberculin antibodies in your blood. To avoid PTB would be to avoid anything that weakens your immune system, like unmanaged diabetes, pregnancy, taking immune supressant medications, abusing alchohol or drugs, and becoming infected with HIV.

So another words it won't lead to PTB if you aren't already infected with the bacteria that causes PTB, and/or have become immune supressed somehow.

Does this make any sense? Repost if you can detail your symptoms or lack their of, or need more info.
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888262_tn?1241158516
Last October 2007, my  x-ray result is definitely fine!    

Findings: Both lungs are clear.
              Heart is not enlarged.
              Diaphragm and sulci are intact.
Impression: Essentially Normal Chest

I have to stopped my job due to my pregnancy last July 9, 2008. I don't feel any symptoms on my chest or feel any bad in my health. I don't smoke or anything that might causes infections to my health especially in my lungs. after giving birth on my first baby, and starts my job again, my x-ray results the following findings.


Based on my xray result dated October 23, 2008 it states that:

Findings: Suspicious densities at the left upper lung field.
              Heart is not enlarged.
              Diaphragm and sulci are intact.
Impression: Apicolordotic View

Then, my physician suggested to have a second x-ray examination. After two days, I've undergone to another second examination and resulted to this:

Based on my xray result dated October 25, 2008 it states that:
Findings: Apicolordotic view show ill define infiltrates at the left upper lung field.
              Heart is not enlarged.
              Diaphragm and sulci are intact.
Impression: Pnueminitis, left koch's etiology not ruled out

And presently, based on my xray result dated April 28, 2009 it states that:

Findings: There are nodulohazed infiltrates at the left upper lung field.
               Heart is not enlarged.
               Diaphragm and sulci are intact.
Impression: PTB Minimal, Left

Can you please help me on this!!!!!!!!!!
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Avatar_m_tn
Did your physician recommend any further testing? like a tuberculin skin test

                        http://en.wikipedia.org/wiki/Mantoux_test
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888262_tn?1241158516
No! My phycisian did not recommend anything. What do you think about my case?
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Avatar_m_tn
It could also be something your breathing at work, do you work in any type of manufacuring where there is dust from certain metals?

Or are you exposed to any kind of mold?

Do you have anyone who lives or works with you that is sick?

TB is sort of an epedemic in the Philippines do you get the BBC vaccine when your a little kid in your country?

Basically if your not short of breath, have chest pain, coughing, fever, malaise, or anything I wouldn't be concerned about TB. It is possible while you where pregnant and your immune system was down just enough for some type of pathogen to multiply in your lung, but your immune system must have taken care of it and you never even really noticed it. What they're seeing on your x-ray is just some cells/pus/fluid it doesn't mean any damage has been done to your lungs, and on a follow up x-ray I would almost bet the infiltrates will be gone.

The thing about tuberculosis is many healthy people carry a latent infection of TB but they don't actually get sick unless they become immune supressed and the TB bacteria finds it's way past the person's immune system. You being pregnant could have opened the door, but TB when it becomes an active infection would make you very sick, so even though you may technically carry the TB bacteria, I don't think you have an active infection.

Do you get TB booster shoots in the Phillippines every 10 years or so, I guess I have no idea?
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Avatar_m_tn
Also myself I would just go and have a chest CT with contrast...to get a better picture of the stuff, regular radio x-rays all you really see is a bunch of ill defined cloudy junk!?.

I think it is suspicious enough that these weren't there in 2007, but have been there for the last six months, to just go ahead and have a CT. If that is something that is available to you, and you have insurance. I don't know what kind of health care they have in the Phillippines?
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888262_tn?1241158516
Thanks for all the advises. It helps me a lot. Godbless.
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Avatar_m_tn
Oopps, I meant the BCG vaccine. (dang acronyms)

http://en.wikipedia.org/wiki/Bacillus_Calmette-Guerin

I still think it's just immune debris, and the lymphatics and stuff take their sweet time cleaning it out (unless you become symptomatic). Just keep your lungs clear otherwise, watch what you breath in, ask if you should get any booster shots, and don't get immune suppressed, and you shouldn't have anything to worry about. But if you want to do the CT and your doctor thinks it's alright, then it will give a pretty detailed picture of your lungs.

If you become pregnant again, take your vitimins and stay away from sick people, and wash your hands a lot, and don't touch your face, or eat without washing your hands first. Well and this is stuff a person should always do whether your immune suppressed or not. People shouldn't become total germaphob's either, because the immune system still needs challenges to stay strong, it's like everything, moderation, and staying away from the bad stuff.

Oh and of coarse babies are immune suppressed also in their first two years, so keeping them away from sick people in the first two years is important too. But after that their immune systems will start to develop all the antibodies they need, but still get them whatever vaccines their doctor reccomends.

K, now I'm starting to babble, so take care, and congratulations on your new baby!
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Avatar_f_tn
Hi! I just had my Xray and the result says: "PTB MINMAL, UNDERTERMINED ACTIVITY"... I am willing to undergo the 2-6 months treatment but I still feel so depressed... How will I not spread the bacteria here in the house as everyone's xray results say NORMAL? Help.. :(
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Avatar_m_tn
I would ignore my ignorance of latent tuberculosis in this thread, it's kind of funny to read this now. I hope madonna got a mantoux test and prophylaxis if she needed it.

Any who, Hi :), first you'll have to determine the "activity"(latent vs. active), that's done primarily by mantoux test(or blood assays) and sputum staining(acid fast bacillus) but also correlated with symptoms, x-ray, and TB history. If sputum's negative your not considered contagious, but could still be infected(latent). If sputum's positive you have active TB and there are quarantine protocols for 2-4 weeks until it is negative. If you're sputum is positive everyone you come into contact with on a regular basis should be tested for TB. If you have a positive mantoux but negative sputum more than likely you have latent TB. If both are negative then you more than likely have scarring from or presently have a non TB infection(pneumonia).

If you have latent TB it's still helpful to try to track the source although this usually isn't practical because huge amounts of time pass from initial exposure but people you spent a lot of time in close proximity that you're in contact with can be tested.TB isn't as casually transmitted from person to person like a virus you usually have to spend hours and hours in close proximity with the person like at work, school, or at home, that's why in endemic areas employers and institutions are sticklers about screening. I guess the important thing is to know the difference between latent and active TB. Take care

http://en.wikipedia.org/wiki/Latent_tuberculosis
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Avatar_m_tn
hi can ask something ??
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Avatar_m_tn
undertermaine activity to have minimal ptb? what are those means can i effected to my girlfriend
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Avatar_m_tn
i have the same problem like you...
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Avatar_f_tn
gud day,,my close friend had an xray and the result say that she has "suggestive of chronic inflammatory lung disease compatible with PTB, minimal disease,pls help us...
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Avatar_m_tn
if you're already taking medications for ptb when will be your chest x-ray turned to negative or normal again?
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Avatar_m_tn
hi, my friend has a ptb. the result of her xray was......there are reticular densities in the upper lung fields. the rest of the lung fields are clear. The trachea is in the midline. The heart is not enlarged. The pulmonary vessels are within normal limits. Both hemidiaphragms are distinct. The ossoeuos thoracic cage reveals no significant bony abnormality. the impression was: consider ptb, both upper lungs. then follow up after 2-3 months and suggest sputum exam. will you please explain it to me and then how did she get that virus? do her family need to separate the utencils? please help. god bless.............
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Avatar_m_tn
It's just saying everything is fine except there's some net like shaped areas of something in both upper lungs, and to consider that it could be ptb. Sputum test is where they collect phlegm from the back of your throat and then they let it culture to see what grows but if there isn't any to collect then they can't and if her cxr is the same they'll probably just put her on tb meds.

If you just follow only germ theory she was in a confined area for a prolonged time with someone that had active TB that was coughing the bacilli in airborne mucus molecules and she inhaled them. Not that all that isn't true but the main thing science leaves out is that we make ourselves a culturing medium for microorganisms by consuming cooked mucus forming foods, esp milk, butter, and cheese. If a person only ever makes one dietary change stop consuming dairy, even raw it's still full of pus, and it's a different species and we're supposed to be weaned by the time we're two. All animals on earth eat fresh raw living foods except humans and their domesticated animals. The only reason some wild animals do get some kind of disease is because of human pollution and/or interference.

As long as she isn't actively coughing or oozing mucus/blood from somewhere the bacilli can't infect anyone else. When it's in the lungs but hasn't replicated enough to cause illness and symptoms it's considered latent ptb and can be cleared up by taking Isoniazid. If you want the infection to really be gone forever though and be immune to all infections a person should eat 100% raw foods. Mostly fruits with some herbs and soaked seeds/nuts. Water fasting for short periods of time is a good idea too like 14-20 hrs a day, one day a week, or do a week fast every couple months. Even science can't deny that fasting increases life span and quality of life.
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Avatar_f_tn
hi !!! can you tell me what is the meaning of " minimal tuberculous infiltrates with cavitation and cicatization are noted in both upper lung fields. the heart and the rest of the structures are unremarkable"..
is that dangerous to the childrens if someone have that infections ?  
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Avatar_f_tn
hi !can u help me to understand the result of my father inlaws xray it say theres a "minimal tuberculous infiltrates with cavitation and cicatization are noted in both upper lung field.the heart and the rest of the structures are unremarkable"
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Avatar_m_tn
It means there's still some areas of PTB infection and the infection has literally left cavities and scar tissue in the upper lobes of the lungs. The infection turns the tissue around it into soup and leaves cavities. The scarring is from the healing process of the body trying to heal the damaged tissue. Both are common findings with PTB that's been active. If he isn't symptomatic & persistently coughing and has already been taking TB meds for more than a month he shouldn't be contagious. If he was around people a lot in a confined area while he was actively symptomatic & persistently coughing at home or work they should get a PPD skin test for latent TB.

Also not medical advise but in my opinion the bacteria are there feeding on acid mucus wastes because of a slow decades long failure of the adrenal/renal and lymphatic systems due mostly to the high consumption of cooked meat, grains, and esp dairy products with high cooked protein & fat content. Humans are primarily a raw fruitivore species combined with a small percentage of juicy tender green herbs/sprouts. Also we never fast even though we have the ability to from 30-100 days(average of 60days) depending on the amount of body fat the person has and their "toxic load" before beginning the fast. The body can heal anything though if it's given rest, low stress, and it's natural diet and therefore the natural healing processes of the body can take place less obstructed.
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Avatar_f_tn
hi.. Just want to ask what do you mean by Suggestive PTB Disease?
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Avatar_f_tn
hi i just had my xray and it stated in my result that fibrolinear densities on left upper lung
conclusion : chronic inflammatory process likely PTB left upper lung
what does that mean?
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Avatar_f_tn
hi.can u help me to understand the radiology report result of my husband :confluent infiltrates are seen in the right upper lobe.Heart is not enlarged.Diaphragm and sulsi are intact. Impression: PTB versus Pneumonia right upper lobe.close follow up study is recommended to monitor activity and exclude other pathology
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Avatar_m_tn
Hi can i ask a question regarding my xray result: Lordotic view shows minimal hazy infiltrates in the left apex. Consider minimal ptb of undetermined activity. Kindly explain it to me. Thank you and what medication should i take?
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Avatar_n_tn
i already undergo 6 months treatment and i wanted to have an xray again to make sure that the ptb was gone.. i want to ask if when i take an xray it will be become clear?? in order for me to have some job again?
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Avatar_m_tn
hi, i need your advise, last year, my chest xray result says minimal tuberculosis left upper lobe, after 6 months of treatment, i undergone chest xray again and the result was unremarkable study? what does it means?
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Avatar_f_tn
Hi I have the result of my xray, the doctor said that I have apicolordotic shows minimal fibrosis right apex. What does it mean> It may be affect my pre employment? I need an answer please.
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