Case contributed by Hani M. Al Salam
Diagnosis almost certain


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

Patient Data

Age: 12 years
Gender: Female

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

Five days later


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


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.