Pulmonary tuberculosis

Case contributed by Dr Hidayatullah Hamidi

Presentation

Fever, cough and headache for 2 months.

Patient Data

Age: 15 years
Gender: Female
X-ray

Multifocal nodular opacities in both lungs.

Cavitating lesion in the periphery of right lung middle zone.

CT

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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Case information

rID: 82787
Published: 5th Oct 2020
Last edited: 8th Oct 2020
System: Chest
Inclusion in quiz mode: Included

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