Miliary tuberculosis

Case contributed by Dr Nilay Singh Shinde
Diagnosis certain

Presentation

Cough with sputum, fever for 5 months, and weight loss.

Patient Data

Age: 55 years
Gender: Female

Chest

x-ray

There is evidence of multiple tiny nodular opacities of average size 1-3 mm noted diffusely in bilateral lung fields suggestive of miliary tuberculosis. Incidental finding bilateral hypoplastic cervical ribs.

Case Discussion

Miliary TB represents only 1-3% of all cases of TB. Up to 50 % percent of cases remains undiagnosed antemortem. The mode of spread of miliary TB is via hematogenous route. 

This case was confirmed by lab reports and the patient started antituberculous treatment.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.