Tuberculosis

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

History of recurrent chest infection for 3 years and history of contact with tuberculosis infected patient.

Patient Data

Age: 12 years
Gender: Female
x-ray

PA and lateral chest radiographs show left lower lobe collapse/consolidation associated with left lung airspace disease.

Five days later

x-ray

Follow up PA chest radiograph after 5 days shows progression of the disease with involvement of the right lung.

ct

Decreased volume of the left lung with extensive tree-in-bud pattern of pulmonary nodules and few pulmonary thick-walled cavities.

Complete consolidation collapse of left lower lobe.

Multiple calcified lymph nodes are seen involving mediastinal, hilar and porta hepatis groups.

Case Discussion

Pathologically proven pulmonary tuberculosis with endobronchial spread.

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