Fever, anorexia, and weight loss
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multiple extensive lymph nodes showing central necrosis seen in cervical groups bilaterally, right axillary, mediastinal, porta hepatis, splenic hilum, and mesenteric groups
mild left pleural effusion with basal lung consolidation, mild thickening of the left oblique fissure, multiple small lung nodules bilaterally
small pleural-based right lower atelectatic bands
Multiple areas of extensive cervical, mediastinal, axillary, and abdominal lymphadenopathy with low density (necrotic) centers. Together with the demographics and presentation of the patient, the diagnosis of tuberculous adenitis is most likely.
Cervical lymph node biopsy was done.
Received in formalin in a single container labeled 'cervical LN', is a single tissue fragment measuring 1.2 cm. All taken in 1 cassette.
The section shows fibrous tissue with a caseous necrotizing granuloma and plasma cell infiltration.
Special stain: ZN and PAS did not show fungus or bacilli.
Diagnosis: Lymph node biopsy (cervical): Features compatible with TB infection.
- 1. Lee Y, Park KS, Chung SY. Cervical tuberculous lymphadenitis: CT findings. (1994) Journal of computer assisted tomography. 18 (3): 370-5. Pubmed
- 2. Ludwig BJ, Wang J, Nadgir RN, Saito N, Castro-Aragon I, Sakai O. Imaging of cervical lymphadenopathy in children and young adults. (2012) AJR. American journal of roentgenology. 199 (5): 1105-13. doi:10.2214/AJR.12.8629 - Pubmed