Tuberculosis with pulmonary and peritoneal involement
HIV on ART for 1 month. Cough and abdominal discomfort.
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Regions of bilateral upper lobe (and small area within right lower lobe) tree in bud nodularity most consistent with active small airways infection. No cavitating lesion. No pleural effusion. There is no hilar lymphadenopathy. Left axillary and upper left paratracheal lymphadenopathy. Bilateral epicardial lymphadenopathy. There are ill-defined soft-tissue density deposits within the omentum and mesentery with a small volume ascites. Normal appearance of the liver. Spleen is mildly enlarged. Both ovaries contain multiple follicles. Para-aortic lymphadenopathy and mesenteric lymphadenopathy. Mildly prominent inguinal lymph nodes.