If the imaging report suggests a high likelihood of tuberculosis, or if the clinical symptoms include cough, sputum, hot flashes, night sweats, blood in sputum, and other manifestations similar to tuberculosis, the imaging physician may issue a report that tuberculosis is more likely. The clinician may also suspect that the patient may have tuberculosis based on the clinical symptoms, but the diagnosis is not confirmed at this point. TB still requires further T-cell testing for TB infection and CT of the chest to see if there are polymorphic changes, including plaques, exudates, proliferation, nodules, calcifications, and cavity formation. Multiple examinations of sputum to see if antacid bacilli can be found are very important in the diagnosis of TB. Fiberoptic bronchoscopy alveolar lavage fluid can also be given to check for antacid bacilli if necessary to increase the positive rate of antacid bacilli detection and to avoid leakage and misdiagnosis. In conclusion, tuberculosis is highly likely to be a clinical or imaging report done mainly because the patient was not checked for antacid bacilli (the gold standard).