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911DOC
911DOC, Board Certified Dr.
Category: Medical
Satisfied Customers: 5094
Experience:  Emergency Medicine Physician
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I wonder if you can help, My girlfriend is worried because

Customer Question

I wonder if you can help,
My girlfriend is worried because she went for an x ray and some tests and the report said that the eosinophils had gone up to 1.3 where the normal is 0.70 to 0.83
it also stated that there are linear, tiny nodular and hazydensities in the left apical region.
the rest of the lungs are clear. heart is not enlarged.The tracheal air columnis at the midline.
Both hemidiaphragms and costophrenic sulci are intact.
The visualized bony structures are unremarkable.
THE INFLAMMATORY PROCESS IN THE LEFT APICAL REGION, MOST LIKELYCHRONICSUCH AS PTB

PLEASE EXPLAIN ABOVE AND WHAT ACTION IF ANY IS REQUIRED
Submitted: 3 years ago.
Category: Medical
Expert:  911DOC replied 3 years ago.

911DOC :

Why did she have these tests done please?

911DOC :

What are her symptoms?

911DOC :

I do not see you in the chat.

911DOC :

so first, the eosinophil count is of no concern whatsoever.

911DOC :

these are white blood cells of a particular type

911DOC :

that can sometimes indicate an allergy problem

911DOC :

but the elevation here is so slight that it means nothing

911DOC :

as to the Xray

911DOC :

I am not familiar with radiological abbreviations used in the UK

911DOC :

so my best guess is this

911DOC :

apical means 'top' of the lung

911DOC :

so on the left side the radiologist sees some tiny nodules and some increased density in the lung

911DOC :

this could represent pneumonia

911DOC :

but I believe the abbreviation PTB probably means 'primary TB', or tuberculosis

911DOC :

it is unlikely this is the case

911DOC :

and is more likely that this is a mild pneumonia or perhaps scarring from prior infections

911DOC :

but if I am correct she will need to follow with her primary care physician to get a TB skin test

911DOC :

if positive she will need to be treated for some months with antibiotics

911DOC :

but TB is usually easily controlled with the correct medication

911DOC :

I do not see you in the chat so will change this to a Q and A format.

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