Chronic Inflammatory Lung Disease Compatible With Ptb

in my chest xray results hearts are within normal limits in size
nodular infiltrates are noted in the right upper lobe.
rest of the lung are clear.
impression : chronic inflammatory lung disease compatible with ptb
my doctor suggested to undergo sputum test which is acid fast bacilli but the result is negative..
Does i have an active ptb?

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In my previous xray result the finding is Left lobe minimal fibrosis. Then, i go to pulmo specialist and advice me for another xray. The result is chronic inflammatory lung disease compatible with ptb. But i do not undergo for sputum test, is it really 100% that i have TB even without sputum test? Is it xray is enough to say that i have TB?

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