Advanced pulmonary tuberculosis

Case contributed by Dr Natalie Yang

Patient Data

Age: 60 years
Gender: Male
X-ray

CXR demonstrates signs of advanced pulmonary TB: Bilateral, coarse, predominantly upper lobe fibrosis with pleural thickening and callus formation, large, confluous cavities, diffuse consolidated areas. Note the resultant abnormally elevated position of the hila, better appreciated on the right. 

CT demonstrates the same findings as the plain film, in addition basal traction bronchiectasis and severe honeycombing can be discerned corresponding to the consolidated areas on CXR. Gas-fluid level can also be observed in the left lower lobe cavities. 

Case Discussion

Advanced pulmonary TB.

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Case information

rID: 8599
Published: 15th Feb 2010
Last edited: 29th Jan 2020
System: Chest
Tag: tb, lungs
Inclusion in quiz mode: Included

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