Post primary tuberculosis

Case contributed by Dr Tomas Jurevicius

Presentation

Weight loss, decreased appetite and mass on chest x-ray.

Patient Data

Age: 55
Gender: Male
CT

Chest CT with and without IV contrast.

No evidence of pleura effusion.

Two solid density masses in left lower lobe superior segment surrounded with smaller distal satellite nodules. Bigger mass is drained by subsegmental bronchi. This appearance could be of a granulomatous process.

CT reveals enlarged right hilar lymph node. Mediastinal lymph nodes are insignificant.

Conclusion: findings suggest active granulomatous process. 

Case Discussion

Bronchial wash and cultures confirmed tuberculosis. 

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Case information

rID: 42202
Case created: 10th Jan 2016
Last edited: 2nd Mar 2017
System: Chest
Inclusion in quiz mode: Included

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