Presentation
Cough, night sweats, fever and weight loss for last one month. Positive family history of pulmonary tuberculosis.
Patient Data
Age: 13 years
Gender: Male
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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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