Presentation
Fever, cough and headache for 2 months.
Patient Data
Multifocal nodular opacities in both lungs.
Cavitating lesion in the periphery of right lung middle zone.
Multiple cavitary lesions in both lungs upper lobes, most notably within the right lung upper lobe. Numerous branching tree in bud nodular opacities in both lungs mainly in the upper lobes as well as in the upper segments of lower lobes. Subcentimeter prominent mediastinal and hilar lymph nodes. No significant pleural effusion or pneumothorax. Filling defects in left lung lower lobar arteries suggesting pulmonary thrombo-embolism
Case Discussion
The features are suggestive of active pulmonary infection, most likely post-primary tuberculosis. There is an additional important finding of left lower lobe pulmonary embolism.
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