Presentation
Cough and fevers
Patient Data
There is a large cavity in the left apex.
Left apical thick-walled cavity with surrounding pulmonary nodules with tree-in-bud opacity. Scattered pulmonary nodules throughout both lungs. No focal consolidation. No pleural or pericardial effusion.
SPECIMEN Specimen Type : Sputum
MICROSCOPY Auramine-Rhodamine Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF) Ziehl-Neelsen Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF)
MYCOBACTERIUM CULTURE SCREEN MGIT bottle <8 days POSITIVE
MYCOBACTERIAL CULTURE 1.Acid Fast Bacilli resemb. M.tuberculosis Complex ISOLATED
Case Discussion
Tuberculosis is a classic cause of a pulmonary cavity, particularly when they occur in the apices. There is radiological evidence of active infection, primarily tree-in-bud opacity.