The Results Of A Chest Examination In A 1 Year Old Child?
My son was 1 year 4 months old and a month ago a thorax examination and clinical results: stt regio axilla dextra, trachea in the middle, cor: normal heart shape and location, pulmo: bronchovascular pattern looks rough, perihilar and paracardial patches appear bilateral, no hilar thickening is seen. , right hemidiagragma as high as ribs 7-8 posterize, right and left costophrenic sinuses are sharp, the bone structure is visualized intact, impression: the cast is not enlarged. Pulmonary TB picture, please explain what is the meaning of my son’s X-ray?
It should be noted first that the results of supporting examinations (including X-rays) cannot stand alone and must be combined with the results of interviews and physical examinations so that the patient's condition can be ascertained so that the treatment given can be maximized.
From the information you conveyed, there is a clinical lump in the right armpit, the heart is within normal limits, and the pulmonary picture is pulmonary TB. From these results, it can be concluded that your child has pulmonary TB with one of the symptoms being swollen lymph nodes in the armpit.
However, the results of the X-ray examination must be combined with the results of the interview and physical examination by a doctor. In addition, the diagnosis of pulmonary TB in children is established by a TB scoring system and not only based on X-rays. Those assessed in TB scoring include the child's contact with a TB patient, X-ray results, Mantoux test, weight/nutritional condition of the child, fever of unknown cause, cough for more than 3 weeks, swollen lymph nodes (neck, groin, armpit), and swelling of bones/joints.
I suggest that you bring the X-ray results to the pediatrician so that the doctor can interpret them again and don't forget that the child is also examined so that the doctor can score some of the parameters above. Furthermore, if it is diagnosed as pulmonary TB, the doctor will provide treatment according to your child's condition. Treatment of pulmonary TB is with anti-tuberculosis drugs given for 6-12 months depending on the patient's condition.
Here is an article that relates to the topic of your question:
Thanks and hope it helps,
dr. Devika Y