Post tuberculosis - destroyed lung

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

History of sputum positive pulmonary tuberculosis 3 years back. Treatment defaulter presented with increasing breathlessness.

Patient Data

Age: 45 years
Gender: Male
Modality: CT

Destruction of left lung parenchyma with replacement by a large cavity showing free communication with bronchial tree and air-fluid level within it. Fibrocavitery changes and calcified granulomas in right lung.

Case Discussion

In this case left lung has been destroyed by tuberculosis.

It has been found that pulmonary haemodynamics play a part in the pathogenesis and spread of tuberculous infections which causes more frequent involvement of left lung 1.

Pneumonectomy can be considered.

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Case Information

rID: 34869
Case created: 11th Mar 2015
Last edited: 2nd Dec 2016
System: Chest
Inclusion in quiz mode: Included

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