Hi,I wonder if you can give me some clarification. I has a chest x-ray and it showed a very small calcified round lesion on the lateral aspect of the right lung.Previous radiological reports dating 12 years ago stated that this a lesion of indeterminate origin and differential diagnosis lies somewhere between a granuloma or hartoma. I have never had TB but was involved in a car accident as a child- have also been inoculated against TB. Yet a current X-ray report states that this is evidence of TB. Can a radiologist state that a lesion is conclusively past TB even though previous reports have stated otherwise. I am really concerned as this is for immigration purposes and would appreciate an opinion
Thanks for your question on Chat Doctor. I can understand your concern. Calcified lesion on chest x-ray suggests old, healed, scarred lesion from previous lung insult (infection or trauma). So at present, no need to worry about active lung lesion. But to prove that this lesion is inactive especially for immigration purpose, you need to consult pulmonologist and get done 1.  CT thorax with Contrast 2. Bronchoscopy and BAD (bronchoalveolar lavage) analysis. If both these are negative for active infection, you can argue with immigration authority about not having active lesion and this lesion is old, calcified lesion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.