So again, do you see an old case of tb, an old injury or a genetic flaw? I can't answer, and neither can you. If it's tb, it's trouble. If it isn't, it isn't, and ultimately risk tolerance becomes the question. I hate euthanizing fish and only do it as a last resort, but having once contracted fish tb, I am more concerned about it than most. That forced me to learn a lot quickly!
Most likely, if it's communicable, it's spread and the fish are all coping with it and controlling it. It wouldn't be that dangerous, except if you are immune compromised or have open cuts when you put your hand in the water. And then, it's just a long annoyance. With fish, it's generally chronic and the fish can look fine for a couple of years. If the fish dies in the tank though, the bacteria flood out of burst cysts and then you have an acute infection. So you can just monitor as you normally would, and euthanize if the fish sickens.