Pulmonary tuberculosis - endobroncheal spread

Case contributed by Dr Hidayatullah Hamidi


Cough, night sweats, fever and weight loss for last one month. Positive family history of pulmonary tuberculosis.

Patient Data

Age: 13 years
Gender: Male

Numerous centrilobular nodules with opacified distal bronchioles giving typical tree-in-bud appearance

Abnormally dilated, non-tapering bronchi having uniform caliber with parallel walls giving appearance of tram track sign and signet ring sign representing cylindrical bronchiectasis

Multiple enlarged right paratracheal, subcarinal and right hilar lymph nodes.

Case Discussion

The overall features, in this clinical context, are very likely for endobronchial spread of pulmonary tuberculosis. 

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Case information

rID: 60271
Published: 15th May 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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