A chest x-ray is a routine part of any pre-employment checkup. Your query regarding reporting of x-ray as bilateral inhomogeneous opacities suggests old or active infection most probably tuberculosis. So, it is advisable to do sputum AFB test (acid-fast bacilli) to rule out whether it is an active or old infection. Usually, only the presence of inhomogeneous opacities does not make the person unfit for the job. A medical examination is done as a part of a pre-employment checkup for working abroad. Certain countries are very peculiar about some communicable diseases like tuberculosis.
If the old or active infection is noted on x-ray, the candidate is declared unfit for the job. So. if your x-ray is reported as same as the other I advise you to do sputum AFB test and chest specialist consultation. If the report is positive, you can complete the full course and take a certificate from the treating physician before you apply for next job.
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