Today, the doctor asked me to take an X-ray to prove my health. The items that need to be checked are: DR chest X-ray; Examination method: plain film, doctor: Come and have a look and tell me if it is

Today, the doctor asked me to take an X-ray to prove my health. The items that need to be checked are: DR chest X-ray; Examination method: plain film, doctor: Come and have a look and tell me if it is serious. I am a senior radiologist in a 3A hospital, and I will reply to your question as follows for your reference. From the description of chest DR, it is really necessary to consider secondary pulmonary tuberculosis. Because the contents displayed by DR are quite limited, chest CT scan is needed. CT can show many details that conventional chest radiographs can't, and it is more valuable for diagnosis. Pulmonary tuberculosis can be diagnosed if chest CT shows exudative lesions in the lungs and various changes such as fibrous foci and small nodules, especially small cavities. Many tuberculosis patients have no typical symptoms, such as cough, expectoration, low fever and even no respiratory symptoms. Moreover, the apex of the lung (including the left upper lung) is the prone site of tuberculosis. If you have no respiratory symptoms, you should consider tuberculosis. In addition to chest CT, sputum, ESR and PPD should also be checked. It should be emphasized that the diagnosis of pulmonary tuberculosis can not rely entirely on the results of sputum bacteria, that is to say, even if sputum bacteria are negative, the possibility of pulmonary tuberculosis can not be ruled out, and comprehensive analysis needs to be combined with other auxiliary examinations to draw more accurate conclusions. It is best to go to the respiratory medicine or infection department of large and medium-sized regular hospitals for treatment.