X rays are images and can show radiolucent or opaque shadows. And only a differential diagnosis can be obtained from this. The granuloma can be caused by chronic infections like tuberculosis, sarcoidosis, lymphomas, leukemias and due to occupational lung diseases like silicosis, asbestosis etc. The findings are correlated with clinical symptoms and blood tests. If needed, your doctor may suggest biopsy of the lesion. A biopsy facilitates a histologic study of cells, which gives you a definite diagnosis.
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