Ask to diagnose the problem of this chest film

This is a chest X-ray. Both sides of the chest are not fully photographed. The upper lung and upper mediastinum are too strong to see clearly. Generally, you can see the patchy shadow of the left upper lung, which is the prone site of tuberculosis, so the doctor still has the basis to consider that you are suffering from tuberculosis.

You said you had no symptoms of this disease. Maybe you have read books or looked up information about tuberculosis on the Internet. What I want to tell you is that it is precisely because you have no symptoms of the disease that you are more likely to get tuberculosis. Clinically, there are fewer and fewer cases of typical symptoms of tuberculosis mentioned in textbooks, and those so-called typical symptoms of tuberculosis can even be ignored when tuberculosis is diagnosed. Diseases similar to tuberculosis in imaging, such as pneumonia and lung abscess, are almost all symptomatic, while a considerable part of tuberculosis has no obvious symptoms, even no symptoms of any respiratory diseases. We can find many such cases in the annual physical examination.

Since your chest X-ray is not clear enough, tuberculosis has been considered clinically. What you need to do next is to go to the local infectious hospital or the infectious department of the general hospital or the CDC for diagnosis and treatment. It is very necessary to do chest CT, which shows much more information than plain film, and plays a very important role in judging whether pulmonary tuberculosis is active or not and the therapeutic effect. It is recommended to do chest CT directly in the future.

The diagnosis and treatment of pulmonary tuberculosis are very important. If the treatment is not standardized, drug resistance is easy to occur and it is difficult to cure, so we should pay enough attention to it.