Post primary pulmonary tuberculosis

Case contributed by Dr Sakher Alkhaderi

Presentation

Cough ,fever ,malaise

Patient Data

Age: 57
Gender: Female
Modality: CT

Typical distribution of illdefined patchy consolidation with cavity formation and extensive endobronchial spread more in the right upper lobe and apical segment of the right lower lobe ,the images clearly depicts the tree-in-bud appearance and peribronchial thickening throughout the lung as well as multiple right hilar and pretracheal lymphadenopathy .

Case Discussion

Post primary infections are far more likely to cavitate than primary infections and are seen in 20-45% of cases , in the vast majority of cases they develop in the posterior segment of the upper lobes  (85%) , endobronchial spread is a common finding resulting in tree-in-bud apperance .

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Case Information

rID: 41121
Case created: 16th Nov 2015
Last edited: 16th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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