Dear Dr. Samuel, Recently I went for a medical check up and X ray report says Shows evidence of increased hilae and lower zone markings of chronic bronchitis. I am an asthmatic. My ESR is within the normal range - 21mm/hr.Neutrophil count is 30% and Lymphocyte count is 61%. Could this be ealy signs of TB?? Thank you Marie
Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and rule out chronic bronchitis first. Your x-ray findings are not suggestive of tuberculosis so no need to worry about it. High lymphocytes can be seen in viral infection also. So you may have viral fever now. But better to get done PFT (Pulmonary Function Test) for the diagnosis of chronic bronchitis.  PFT will also tell you about disease severity and this is important in guiding treatment. Asthma and chronic bronchitis are two different terms, so you need to diagnose first. Better to consult pulmonologist and discuss all these.