Pulmonary tuberculosis

Case contributed by Abdulmajid Bawazeer
Diagnosis certain

Presentation

The patient presented with low grade fever, cough, malaise and night sweats for one month.

Patient Data

Age: 50 years
Gender: Male
ct

Bilateral multiple patchy areas of consolidation and branching centrilobular nodules (tree in bud sign) involving both lung lobes with upper lobe predilection.
​Bilateral hilar and mediastinal lymphadenopathy.

No cavitation or calcification.
No plural effusion or pneumothorax.

Case Discussion

Considering pattern of lung changes and lymphadenopathy atypical chest infection should be on the top of differential diagnosis and the lab test (acid-fast stain) reveled tuberculosis.

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