Post tuberculosis - destroyed lung

Case contributed by Dr Kewal Arunkumar Mistry


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

Patient Data

Age: 45 years
Gender: Male

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 hemodynamics 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
Published: 11th Mar 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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