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In chest x-ray, what is the meaning of bilateral apical inhomogeneities?

In chest x-ray, what is the meaning of bilateral apical inhomogeneities?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At June 23, 2018
Reviewed AtFebruary 20, 2024

Patient's Query

Hi doctor,

I have applied for a job in abroad. I was asked to get a complete medical checkup. In the chest x-ray report, it was mentioned as bilateral apical inhomogeneities. What does it mean?

Hello,

Welcome to icliniq.com. 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 theold 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Amol Kumar Wasudeorao Diwan
Dr. Amol Kumar Wasudeorao Diwan

Allergy Specialist

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