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What does SEQUELAE TO PULMONARY KOCHS mean?

Resolved Question:

My father is bad smoker, I forced him to do xray of his chest. Now reports are in my hand and I want to Report is like this :
1. Trachea is central.

2. Multiple Nodular Calcification and a fibrotic band seen in left upper and mid lung zones.

3. Rest of the lung fields are clear.

4. Both domes are normally placed with clear c.p. angles.

5. Both hila and mediastinum appear normal.

6. Cardiac size and silhouette appears normal.

7. Bony thoracic cage and soft issues are unremarkable.

IMPRESSION :- ? SEQUELAE TO PUMONARY KOCH'S

Category: Pulmonologist

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Category: Allergy and Immunologist
 32 Doctors Online

Thank you for posting your query at Doctorspring.com
I understand that your father was asymptomatic and was asked to take an x ray on your compulsion.
Chest x ray has revealed nothing active, that requires treatment at present.
He had tuberculosis some time in the past, which has healed, and is not infective/ requiring treatment at present.
So as long as your father is asymptomatic, he does not need any treatment
If he has any issues currently, please mention and I will guide you further,
Regards
JACOB GEORGE P


Patient replied :

Yes doctor he has dry cough from last 1 month which is not becoming less.


Dear patient,
Is there any associated fever or weight loss? Any worsening of symptoms associated with day time or night time? Any postural change noted? Is it associated with running nose or any other symptom?
If answer is negative to all, I would suggest a cough suppressant like dextromethorphan or codine. Your family physician can give a prescription for the same. Also take a anti ulcer medicine like rabeprazole + domperidone - one tablet in empty stomach and avoid spicy food.
All these are symptomatic treatment. X ray changes do not warrant any treatment. If symptoms persist, do follow up.
Hope this helps, would be glad to discuss further.
Dr. Jacob George


Dr. Jacob George Pulinilkunnathil
Category: Allergy and Immunologist
Experience: 
Residency, Post Graduation: MD, Respiratory Medicine, J L N Medical College, Ajmer, Rajasthan (2012).
Medical School, Internship: MBBS, Government Medical College, Kottayam, 2001-07 
Indian Diploma in Critical Care Medicine (IDCCM) - Medical Trust Hospital, 2013-2014.
Dr. Jacob George Pulinilkunnathil and 4 other Medical Specialists are ready to help you

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