Pulmonary tuberculosis
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Diagnosis almost certain
Presentation
Chronic cough.
Patient Data
Age: 75 years
Gender: Male
From the case:
Pulmonary tuberculosis
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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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