Pulmonary tuberculosis and idiopathic pulmonary fibrosis

Case contributed by Anastasia Belozertseva

Presentation

1 year ago, idiopathic pulmonary fibrosis was suspected due to clinical and radiological findings. The patient was then admitted to the hospital with increasing shortness of breath and fever.

Patient Data

Age: 70 years
Gender: Female
CT

CT 1 year prior to acute admission

The first CT scan, a year before admission, demonstrates reticular opacities with a predilection for the lower lobes and peripheral lung zones, traction bronchiectasis and subpleural ground glass opacities. Microcystic honeycombing was also seen.

CT

CT at the time of acute admission

Bilateral large areas of lung parenchymal consolidation with fuzzy contours and heterogeneous structure because of multiply cavities. Elsewhere, there is lung architectural distortion, diffuse reticular opacities with traction bronchiectasis and peripheral ground glass opacities.

Case Discussion

Idiopathic pulmonary fibrosis was initially established on clinicoradiological findings. When the acute admission occurred, tuberculosis was confirmed by bacteriological tests.  

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Case information

rID: 45883
Case created: 12th Jun 2016
Last edited: 16th Dec 2016
System: Chest
Inclusion in quiz mode: Excluded

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