Pulmonary tuberculosis

Case contributed by Dr Bruno Di Muzio

Presentation

23-year-old with right upper lobe changes.

Patient Data

Age: 23
Gender: Male
X-ray

Chest radiographs

Multiple small nodules scattered in the right lung apex. The remainder of the lungs and pleural spaces are clear. Cardiomediastinal contours are normal. 

CT

CT Chest

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 subcentimetre nodules, one of which demonstrates cavitation. No associated bronchiectasis identified. The remainder of the lungs and pleural spaces are clear. The visualised 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. 

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Case information

rID: 49171
Case created: 14th Nov 2016
Last edited: 20th Nov 2016
System: Chest
Tag: rmh
Inclusion in quiz mode: Included

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