I'm really confused about my test results for TB. On December 27th, I got a sputum test, and it was positive. But then the next day, I did another sputum test, and that came back negative. The Truenat test on the 29th and the CBNAAT on the 30th were also negative. My chest X-ray is normal according to my local doctor, and some symptoms like weakness have gotten better, though I still have a mild chest pain. My blood report was normal except for ESR being 26, lymphocytes at 43, and cholesterol at 216. With my initial test being positive and all the following ones negative, I'm really unsure whether I have TB or not and whether I should start taking any medication. Could you help me figure out what's going on?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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Answered 04/07/2025

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I'm trying to understand my recent chest X-ray results a bit better. It mentioned that my bilateral lung fields show prominent broncho vascular markings, both hila are likely vascular and prominent, and there's a blunted right CP angle due to pleural effusion or pleural thickening. Should I be worried about these findings? What do these terms really mean for my lung health?

blunted cp angle means theres is fluid collection in her pleura

Answered by 1 Apollo Doctors

I'm curious about something. I've been randomly checking my SpO2 levels in the morning and at night. In the morning, they're usually between 97 to 99, but at night they go from 94 to 98. I'm not running a fever or anything. Do you think this is something I should be concerned about?

no it is not, donot worry it might due to temperature changes also

Answered by 1 Apollo Doctors

I'm a bit worried because my HRCT shows I've got minimal pleural effusion on both sides. Most of my tests like CBC, thyroid, serum creatinine, serum uric acid, and CRP came back normal, but my ESR is 34. With this minimal pleural effusion, do you think I need pleural tapping? Plus, I'm dealing with some pain in my upper chest wall and upper back. Would love to get your thoughts on this.

pleural tapping is not required

Answered by 1 Apollo Doctors

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