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Pulmonary tuberculosis

Case contributed by Bashar Karkoush
Diagnosis almost certain

Presentation

Hemoptysis.

Patient Data

Age: 45 years
Gender: Male
ct

Multiple thick-walled cavitary lesions are seen within areas of consolidation, the largest cavitary lesion is in the anterior segment of the right upper lobe with an air-fluid level.

Scattered well-defined nodules and centrilobular nodules in a linear branching pattern "tree-in-bud appearance" indicating extensive endobronchial spread.

Diffuse ill-defined patchy consolidations. 

Case Discussion

This case demonstrates features of pulmonary tuberculosis in a sputum smear-positive TB patient.

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