Tubercular mediastinal lymphadenopathy

Case contributed by Dr Prashant Mudgal

Presentation

Known case of tuberculosis presented with fever and cough.

Patient Data

Age: 32 years
Gender: Female

Multiple, enlarged, conlomerate and discrete, peripherally enhancing and centrally non-enhancing (necrotic) lymph nodes noted involving right supraclavicular, right upper paratracheal, left upper paratracheal, prevascular, right lower paratracheal, subcarinal (40x29 mm), para aortic and bilateral hilar. The subcarinal node shows coarse calcification.
Multiple well defined, mildly enhancing soft tissue parenchymal nodules measuring approximately 1.0-1.5 cm noted in bilateral upper lobes.
Multiple, enlarged, conlomerate and discrete, peripherally enhancing and centrally non-enhancing (necrotic) lymph nodes noted in peripancreatic, perihilar, celiac and para aortic region in the visualized part of abdomen, the largest node measures 27x24 mm.

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Case Information

rID: 43745
Case created: 24th Mar 2016
Last edited: 24th Mar 2016
System: Chest
Tag: pm
Inclusion in quiz mode: Included

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