<s>[INST] Hi i just got the xray results today want to know what to do about this -show presence of fibrolinear densities on the left mid to upper lung and right midlung areas -patchy opacities -there is large bullae formation on rhe right upper lung -there is blunting of right costopherenic angle -the trachea is in the midline -the heart appears enlarged -the pulmonary vessels are within normal limits -the osseous thoracic cage reveals no significant body abnormality IMPRESSION: -secondary PTB both mid to upper lung, with bullae formation, right upper lung -pleural thickening rigt - cardiomegaly with no evidence of pulmonary congestion Can someone explain this to me thanks [/INST] patient is suffering from TB of lungs ...involving middle and upper lobes of lung...heart is enlarged and shifted to right...u should start with anti tb treatment </s>