Pulmonary tuberculosis

Case contributed by Ashish Mohan Bhattarai
Diagnosis almost certain


Respiratory distress for ten days on background of intermittent, low grade fever and productive cough for two months

Patient Data

Age: 40 years
Gender: Female
  • homogenous opacity with air bronchograms in the right upper and middle zones bounded inferiorly by horizontal fissure
  • multiple nodular opacities in lungs, predominantly in right lung
  • elevation of right hemidiaphragm is seen which is evident of partial collapse/consolidation of right lung (lower lobe)
  • slight blunting of right costophrenic angle indicating pleural effusion
  • areas of homogeneous hyperdense lesions with air bronchograms in the right upper lobe with fluffy nodular opacities in lungs, predominantly on the right, some tree in bud appearance
  • partial collapse of right lung evidenced by volume loss and mild mediastinal shift towards right and compensatory hypertrophy of left lung field
  • minimal free fluid in right pleural cavity
  • few calcified mediastinal lymph nodes are noted

Case Discussion

Pulmonary tuberculosis may present with a variety of HRCT findings, cavitary lesions, predominantly in the apices is the commonest one. Here, we have shown consolidation with tree-in-bud opacity and multiple nodules distributed throughout the bilateral lungs.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.