11 yo male with persistant coughing over 3 months xray just taken says some inflamitary changes with increased bronchovascular markings are present in the region of the anterior basel and prosterial segments of the right lower lobe.No pnumonic condition, no pleural effusion , ribs appear normal.Heart normal size, mediastinum and both hilar shadows appear normal, both lungs are well inflated, the pulmonary vascular pattern appears normal.I am concerned as my family has a history (on my mothers side of T.B) what is next course of action.
Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about tuberculosis in his case because his chest x-ray is not suggestive of active tuberculosis. In my opinion, he is mostly having asthma or bronchitis because his chest x-ray is having prominent bronchovascular markings. So better to consult pulmonologist for him and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). He may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral combination of antihistamine and anti-allergic Chat Doctor.  Don't worry, he will be alright. No need to worry about tuberculosis. Hope I have solved your query. I will be happy to help you further. Wishing him good health. Thanks.