Conversation: The conversation between human and AI assistant.
[|Human|] Hello, My husband is suffering from pneumonia since 2012. He gets the infection often (every 6 months) and doctors put him under oral or iv antibiotics. As he is suffering from severe acid reflux doctors concluded that it could be aspiration pneumonia. Though we are taking utmost care he is getting sick. We are doing F/U regularly to rule out TB also. Few of the tests came positive but doctors dint put him under TB medication. Conducted bronchoscopty and CT scan two times. His latest chest x ray shows ill defined patchy opacity in right upper hilar region. What does this mean?Please help us.
[|AI|]  Thanks for your question on Chat Doctor. There are many causes for Hilary opacity. But common ones are1. Non resolving pneumonia2. Slowly resolving pneumonia3. Resistant infection4. Fungal or parasitic pneumonia. 5. Lymphadenopathy etc. Possibility of resistant pneumonia is high. Anaerobic bacterial infection is high in cases associated with HERD (Castro Esophageal Reflux Disease). And routine culture does not show anaerobic bacteria. So we need to do anaerobic culture separately. Fungal and parasitic pneumonia can also be the cause as routine antibiotics does not cover them. So consult pulmonologist and discuss all these.