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Bilateral pulmonary nodules - tuberculous granulomas

Case contributed by Callum Smith
Diagnosis almost certain

Presentation

Routine chest x-ray in a patient with a long smoking history and past treatment of tuberculosis.

Patient Data

Age: 70 years
Gender: Male

Bilateral high density / calcified pulmonary nodules. Left lower zone bullae. Left apical pleural thickening.

Case Discussion

A 70-year-old man with proven past pulmonary tuberculosis treated with antibiotics and left apical bullectomy. 

Left apical pleural thickening is present which represents scarring in this case. High-density/calcified pulmonary nodules with this history represent healed tuberculosis. 

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