Presentation
Pleuritic right chest pain for one day. Cough, weight loss and night sweats for past month. Positive family history for pulmonary tuberculosis.
Patient Data
Age: 20 years
Gender: Female
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There is blunting of right costophrenic angle with elevation of right pseudo-hemidiaphragm suggestive of right subpulmonic effusion.
Reticulo-nodular changes are seen in bilateral upper lobes with some fibrotic changes note on left. There is a cavitating nodule seen at right base.
Case Discussion
The presence of a subpulmonic effusion was confirmed with a limited ultrasound of the right hemithorax.
In consideration with positive family history and CXR findings, there is high suspicion of pulmonary tuberculosis which was later confirmed by sputum gene testing.
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