Presentation
25-year-old with right upper lobe changes.
Patient Data
Multiple small nodules scattered in the right lung apex. The remainder of the lungs and pleural spaces are clear. Cardiomediastinal contours are normal.
No pericardial effusion, size significant intrathoracic or axillary lymphadenopathy identified. The apical and posterior segments of the right upper lobe demonstrate centrilobular tree in bud opacities as well as multiple discrete subcentimeter nodules, one of which demonstrates cavitation. No associated bronchiectasis identified. The remainder of the lungs and pleural spaces are clear. The visualized upper abdominal solid viscera define normally. No suspicious bony lesions identified in the thorax.
Case Discussion
Features are those of infection with bronchiolar distribution in the right upper lobe with typical imaging appearances suggesting tuberculosis. This was further confirmed clinically.