Miliary tuberculosis

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

Middle eastern man with fever and chronic cough on background of known tuberculosis.

Patient Data

Age: 40 years
Gender: Male
ct

CT scan shows innumerable bilateral, randomly distributed small pulmonary nodules which have a centrilobular predilection. In addition, there are a few peripheral branching opacities (tree-in-bud pattern) in the mentioned lobes. The mediastinum is unremarkable.

Case Discussion

Findings are in keeping with miliary spread of Tuberculosis.

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