Pulmonary tuberculosis

Case contributed by Ayush Goel
Diagnosis almost certain

Presentation

Chronic cough.

Patient Data

Age: 75 years
Gender: Male
ct

Thick walled cavitary lesion in the right upper lobe. Fibrotic strands and bullae in bilateral upper lobes.

Differential diagnosis pulmonary tuberculosis or malignancy.

Case Discussion

FNAB from the wall of cavity confirmed pulmonary tuberculosis as the cause.

Pulmonary cavities are defects within nodules, masses or areas of consolidation which are typically thick-walled (greater than 2-5 mm). They may contain gas and/or fluid and may demonstrate gas-fluid levels. Tuberculous cavities are typically dry.

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