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My Dear Dr,Ramesh Mehta
Thanks for referring Ms.Amandeep kaur D.O.B. 14-0-17 for chest specialist clearance report that se has no active pulmonary tuberculosis.
Ms. Amandeep Kaur is a well built and nice girl with no history of cough,fever,anorexia,hemoptysis or chest pain. She denies having any history of suffering from tuberculosis or having taken any long treatment . There is no family history of tuberculosis,asthma,diabetes or HIV.
Her clinical examination is -tive for any significant lyphadenopathy,clubbing,cyanosis or oedema . She is normotensive.Chest examination clinically is normal.Rest of the systemic examination is also normal.
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Hemogram done on 8-08-18 reveals TLC of 6,800 /mm with P 70% ,L 7% , M 1% and B % . ESR done on same date is 14.Urine examination is normal. Three Sputum smears examinations for AFB done on three consecutive days i.e. 1-08-8 , 01-0-8, 0-0-8 are negative for AFB.Three laryngeal swab culture samples collected on 1-08-8 , 01-0-8 , 0-0-8 are negative for AFB culture after incubation of eight weeks. Her mantoux test is 7 x 5 mm with 5 IUPPD after 48 hours.
X-ray chest PA view done on 05-11-8 shows healed calcified lesion upper zone of right lung .Left lung is clear. Both CP angles and domes are normal. Cardiac silhouette is normal. Bony cage is also normal. Both CP angles and domes are clear.Cardiac silhouette and bony cage are also normal. Reviewing the normal clinical profile , normal hemogram and ESR with three sputum smear results negative for AFB and three laryngeal swab culture for mycobacteriun negative , normal mantoux test with only healed calcified lesion in upper lobe of right lung on X-ray chest PA view done on 05-11-8 confirms that she has no active pulmonary tuberculosis.The calcified healed lesion in the upper lobe of right lung on X-ray should be ignored in the absence of any clinical / Investigative support.
Thanks for referring Mr. Gurpreet Singh D.O.B. 04-11-18 for chest specialist clearance report that he has no active pulmonary tuberculosis.
Mr. Gurpreet Singh is a well built and nice boy with no history of cough fever,anorexial hemoptysis or chest pain. He denies having any history of suffering from tuberculosis or having taken any long treatment . There is no family history of teurculosis,asthma,diabetes or HIV. He is a non smoker.
His clinical examination is negative for any significant lyphadenopathy , clubbing , cyanosis or oedema .
He is normotensive. Chest examination clinically is normal. Rest of the systemic examination is also normal.
Hemogram done on 8-08-18 reveals TLC of 7,00 /mm with P 7% ,L 6% , M 1% and B 1% . ESR done on same date is 10. Urine examination is normal. Three Sputum smears examinations for AFB done on three consecutive days i.e. 1-08-8 , 01-0-8, 0-0-8 are negative for AFB.Three laryngeal swab culture samples collected on 1-08-8 , 01-0-8 , 0-0-8 are negative for AFB culture after incubation of eight weeks. His mantoux test is 6 x 4 mm with 5 IUPPD after 48 hours.
X-ray chest PA view done on 05-11-8 shows both lung fields to be clear. Both CP angles and domes are normal. Cardiac silhouette is normal. Bony cage is also normal.
Both CP angles and domes are clear.Cardiac silhouette and bony cage are also normal.
Reviewing the normal clinical profile , normal hemogram and ESR with three sputum smear results negative for AFB and three laryngeal swab culture for mycobacteriun negative , normal mantoux test and normal X-ray chest PA view done on 05-11-8 confirms that he has no active pulmonary tuberculosis.
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