This is a middle aged person who has been on ATT for last 3 years including second line agent.Comment on the Xray 1) regarding activity 2) Left lung findings

RUL fibrotic healed ,RLZ- ? active process, left lung fibrotic collapse, mediastinum pulled to left,trachea pulled to left, left hemidiaphragm pulled up. Don't pass the final verdict on activity unless sputum/BAL is repeatedly ZN smear and culture negative.
The lower image is the CT scan of the same patient who had a large bulla.