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At the time the case was submitted for publication Rodney Strahan had no recorded disclosures.View Rodney Strahan's current disclosures
Breathlessness, cough, night sweats and weight loss. Lives in a country with endemic tuberculosis.
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Bilateral pleural effusions, Left > Right, with mass effect on the mediastinum.
Narrowing of the right bronchus intermedius and left lower lobe bronchus, indicating hilar lymphadenopathy. There is also mediastinal lymphadenopathy with loss of the paratracheal stripe.
Children's airways are smaller and more pliable than adults so they can be more easily compressed by enlarged hilar lymph nodes, especially from caseating tuberculosis. This makes airway compression or displacement on chest radiographs an important indirect feature of tuberculous lymphadenopathy in this age group.
- George A, Andronikou S, Pillay T, Goussard P and Zar HJ. Intrathoracic tuberculous lymphadenopathy in children: a guide to chest radiography. Pediatr Radiol (2017) 47:1277–1282