Miliary tuberculosis

Case contributed by Dr Nolan Walker

Presentation

Renal transplant patient. Right basal crackles were heard on auscultation. Pyrexial ?cause.

Patient Data

Age: 50 years
Gender: Male
Modality: X-ray

Subtle but definite miliary nodules throughout both lungs. These are most noticeable in the right lower zone.

Modality: CT

Axial MIP images of the CT chest performed 2 days later confirms the miliary nodules.

Case Discussion

The nodules are visible on the CXR but they can be missed if you are not specifically looking for them.

Following the chest x-ray, the patient deteriorated rapidly and they were admitted to ICU. CT MIP imaging reveals the nodules far more clearly.

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Case Information

rID: 33993
Case created: 1st Feb 2015
Last edited: 5th Apr 2017
System: Chest
Tag: crop
Inclusion in quiz mode: Included

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