In January of this year, due to fever, I went to the hospital for a radiograph and the results were as follows.Multiple patchy and blurred shadows with unclear borders were seen in the posterior basal segment of the right lower lobe of the lung.In the posterior apical segment of the upper lobe of the left lung, a speckled and striated shadow with a clear border is seen.In the middle lobe of the right lung, there is a striated shadow with clear borders.The trachea and right and left main bronchi were patent.The mediastinum was centered and not deviated, no clear enlarged lymph nodes were seen, and the cardiac shadow was not large.The thorax was symmetrical and intact, and no free fluid was seen in the bilateral chest cavity.The doctor prescribed cephalosporin and other medications for 2 weeks, and the results were reviewed in February, with the following results: the hilum was not large, the mediastinum was not widened or displaced, and no clear enlarged lymph nodes or occupying lesions were seen.The bronchial-vascular bundles in the bilateral lung fields were clear, and the posterior segment of the upper lobe of the left lung showed speckles and small pieces of high-density shadow with higher local density.The size and shape of the heart shadow were not clearly abnormal.The border is clear and slightly "smoky".A few cords of dense shadow with clear borders were seen in the medial segment of the right middle lobe.In the posterior basal segment of the lower lobe of the right lung, a few flocculent and thin shadows were seen with faint borders.Yesterday, I went back to the hospital to review the results as follows:Bilateral thoracic symmetry.The left upper lobe of the lung has a patchy, lamellar and corn-like hyperdense shadow with uneven density and a small amount of calcification, and some of the lesions have blurred edges.The remaining lobes of the lung did not show any clear substantive lesions.The trachea and right and left main bronchi were patent.The mediastinum was centered and undifferentiated, with no clear enlarged lymph nodes and little cardiac shadow.No free fluid was seen in the bilateral chest cavity.Tuberculosis is suspected on the doctor's side, but it is currently undiagnosed.At present, my symptoms are that I often have a little white sputum every day, no cough, no fever, and no chest pain.My diet and weight are normal, and I have had blood tests and sputum tests done without any abnormalities.Do I need to be hospitalized?
Compare the description of the two chest effects consider the possibility of recurrence of tuberculosis, combined with the effectiveness of ordinary antibacterial therapy is not obvious, more supportive, feasible blood sedimentation ppd test sputum test for tuberculosis infection T-cell test for further clarification, but also need to be alert to the possibility of other diseases, hospitalization system diagnosis and treatment is prudent
Patients do not cough and have white sputum, which is mostly seen in some chronic respiratory diseases, such as chronic pharyngitis, chronic bronchitis.Chronic obstructive pulmonary disease, etc.It is also not excluded that there is an infection in the throat.It is recommended to use Chinese herbal medicine to clear the heat and detoxify the toxins to treat it better.
From the CT examination of the lungs and the treatment process, the possibility of tuberculosis should be considered first. The lung images belong to the imaging manifestations of tuberculosis, and it is suggested that the auxiliary examinations related to tuberculosis should be improved, and if there are positive results, the diagnosis can be supported by early anti-tuberculosis treatment.