Pulmonary tuberculosis

Case contributed by Ashish Mohan Bhattarai
Diagnosis almost certain


History of chest discomfort associated with fever and productive cough since 1 month

Patient Data

Age: 40 years
Gender: Male

Few cavitary lesion in the bilateral upper lobes with adjacent areas of consolidation and multiple centrilobular opacities, some of which showing tree in bud appearance with mild free fluid collection noted in left pleural cavity. – likely pulmonary tuberculosis with endobronchial spread and left minimal pleural effusion.

Case Discussion

Cavitary lesions in the apices of lungs are typical features of pulmonary tuberculosis. Here, multifocal areas of consolidations with centrilobular nodules giving tree-in-bud appearance can be appreciated, these findings are typical in the endobronchial spread of pulmonary tuberculosis.

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