<s>[INST] My daughter of 27 years age is having left hip joint pain and the MRI suggest fluid presence. blood test of TB gold indicates positive and the reading is .8 instead of .3,many blood test are done related and their result is normal except ESR which is 28 and CRP QUANTITATIVE SERUM  test show 17.3 .Chest x-ray is clear but she is advised to go for CT scan for chest. Confused and whom to consult for correct diognestic for start of TB treatment. pl advise.ibrao [/INST] Thanks for your question on Chat Doctor. I can understand your concern. Your daughter is having septic arthritis of hip joint with collection of fluid (synovial effusion). Most common cause for this is tuberculosis. Her TB gold test is also positive with high CRP (C Reactive Protein) and ESR (erythrocyte sedimentation rate). All these favor TB more. But confirmation should be done by aspiration of synovial fluid from hip joint and send it for ADA (adenosine Deaminate) level. ADA is marker of tb infection fluid. So if ADA of fluid is also high, better to start anti TB Chat Doctor.  So consult orthopedic doctor and discuss synovial fluid aspiration. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks. </s>