Post-primary pulmonary tuberculosis

Case contributed by Roberto Schubert
Diagnosis probable


The patient presented with night sweats, cough and dyspnea. She had lost 10 kgs of weight within the last 3 months and tested positive for HIV.

Patient Data

Age: 60 years
Gender: Female

See discussion together with CT findings below. 

Imaging studies showed a predominantly fibroproductive form of TB, that also included exsudative foci and cavitations. Infiltrates and multiple saccular bronchiectases were present in the lower lobes. Emphysematous bullae were found in the pulmonary apices. A Ranke complex could be identified in the left upper lobe.

This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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