Post-primary pulmonary tuberculosis

Case contributed by Henry Knipe ◉ ◈

Diagnosis certain

Citation, DOI, disclosures and case data

Citation:

Knipe H, Post-primary pulmonary tuberculosis. Case study, Radiopaedia.org (Accessed on 30 Mar 2023) https://doi.org/10.53347/rID-47853

DOI:

https://doi.org/10.53347/rID-47853

Permalink:

https://radiopaedia.org/cases/47853

rID:

47853

Disclosures:

At the time the case was submitted for publication Henry Knipe had no recorded disclosures.

View Henry Knipe's current disclosures

Case published:

6 Sep 2016

Revisions:

8 times, by 1 contributor - see full revision history and disclosures

Systems:

Chest

Quiz mode:

Included

Presentation

Weight loss, cough, hemoptysis.

Patient Data

Age: 50 years

Gender: Male

From the case: Post-primary pulmonary tuberculosis

x-ray

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Frontal

Bilateral apical pulmonary cavities, better seen on the left. Patchy left upper zone consolidation. No pleural effusion.

From the case: Post-primary pulmonary tuberculosis

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Axial lung window

Bilateral apical pulmonary cavities. Bronchiectasis with bronchial wall thickening. Extensive tree-in-bud opacity with further areas of focal consolidation. Enlarged right hilar node.

Case Discussion

The imaging of this case is typical for post-primary pulmonary tuberculosis with cavities, endobronchial thickening and tree-in-bud opacity. The patient proceeded to bronchoscopy:

Mycobacterial investigations

Specimen Type: Sputum

Microscopy: Auramine-Rhodamine Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF)

DNA Amplification Assay for M. tuberculosis Complex (PCR): DETECTED

1 article features images from this case

Post-primary pulmonary tuberculosis

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Post-primary pulmonary tuberculosis

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