Sequela of previous tuberculosis
CXR shows a mass lesion in the right lower lobe.
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No previous imaging available for comparison at the time of reporting.
Multiple small calcified nodes are present.
Bronchiectasis airways in the middle and right lower lobes containing multiple broncholiths.
Large and small calcified granulomas are present in the right lower lobe.
Conclusion: Appearances are in keeping with prior tuberculosis infection.
This patient had been treated for tuberculosis 25 years earlier.
Calcified intrapulmonary mass lesions are uncommon. The list of possible causes include:
- old TB and other granulomatous conditions, e.g. prior sarcoid
- prior exposure to silica dust
- calcified metastatic deposits e.g. soft tissue and bone primary sarcomas
- pulmonary amyloidosis