Miliary tuberculosis

Case contributed by Dr Mark Holland


Generally unwell with lethargy, night sweats and haemoptysis.

Patient Data

Age: 20
Gender: Male

Chest x-ray demonstrates very widespread randomly distributed innumerable tiny nodules in both lungs. There is no consolidation or pleural fluid and no mediastinal or hilar nodal enlargement. 


Zoomed cropped image from the left upper zone demonstrates innumerable well defined ~2mm nodules.

Case Discussion

This patient has presented with constitutional symptoms and an abnormal chest radiograph with multiple, well-defined, tiny (2 mm) nodules throughout both lungs with no zonal predilection. By far the most likely diagnosis here is of tuberculosis, which was subsequently confirmed. 

Miliary tuberculosis represents haematogenous spread of uncontrolled TB infection.

PlayAdd to Share

Case information

rID: 20025
Published: 29th Oct 2012
Last edited: 16th Jul 2018
System: Chest
Tag: tb
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.