Tuberculous cervical lymphadenitis
Swollen right cervical lymph nodes.
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Enlarged lymph nodes in the right deep cervical chain with low density centers (arrows). Scrofula was thought to be the most likely diagnosis.
Biopsy and culture of the cervical lymph nodes was positive for Mycobacterium tuberculosis.
Lymph nodes with low density are typically seen with TB, fungal infections, pyogenic infection, necrotic metastases and occasionally lymphoma.
Credit: Dr Bernard Ng.