Pulmonary tuberculosis

Case contributed by Karwan T. Khoshnaw
Diagnosis certain

Presentation

A middle aged patient presented with productive cough, low grade fever, night sweating and weight loss for about one month duration and not responding to antibiotic treatment

Patient Data

Age: 50 years
Gender: Male
ct

Evidence of an ill-defined patchy consolidation with reticulonodular infiltrations in both lung fields, endobronchial spread with "tree-in-bud" appearance and cavitation, the findings highly in favor of an active pulmonary tuberculosis.

Case Discussion

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

 

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