Presentation
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
From the case:
Pulmonary tuberculosis
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- 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
From the case:
Pulmonary tuberculosis
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- 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.
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