Post-primary pulmonary tuberculosis

Case contributed by Mohammad Taghi Niknejad
Diagnosis probable


Work up for cough and breath shortness.

Patient Data

Age: 40 years
Gender: Male

Severe bronchiectasis, cavitation and alveolar consolidation are noted at the upper lobe of left lung. Endobronchial spread along nearby airways is seen resulting in a relatively well-defined 2-4 mm nodules and branching lesions resembling tree in bud appearance. There are is also mediastinal lymphadenopathy.

Case Discussion

Features are most compatible with post-primary pulmonary tuberculosis.

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