Pulmonary tuberculosis

Case contributed by Bruno Di Muzio
Diagnosis certain


25-year-old with right upper lobe changes.

Patient Data

Age: 25 years
Gender: Male

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 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 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. 

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