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Primary Pulmonary Tuberculosis

Shogan PJS - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Primary Pulmonary Tuberculosis

History: 16 month asymptomatic male and 3 year old asymptomatic sister with exposure to uncle from India.

Findings: 16 month male: Chest radiographs demonstrates focal air space opacity in the right lower lobe, and right hilar fullness. Contrast enhanced CT of the chest shows consolidation in the superior segment of the right lower lobe. Additionally, there is a heterogeneous mass in the right paratracheal region with foci of central hypodensity, and minimal peripheral enhancement, suggestive of necrotic lymphadenopathy. In the subcarinal region, there is contined area of central hypodenisty that is contiguous with the consolidated lung. 3 year old female: Chest radiographs demonstrate unilateral right sided hilar adenopathy. Repeat chest radiographs two weeks later demonstrate new right middle lobe opacity.

Ddx: Differential Diagnosis for Tuberculous Adenopathy. Metastases Histoplasmosis in endemic areas.

Dxhow: +AFB

Exam: +PPD.

No MeSH data available.


Lateral chest radiograph two weeks later demonstrates new right middle lobe opacity.
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MPX1475_synpic40022: Lateral chest radiograph two weeks later demonstrates new right middle lobe opacity.


Primary Pulmonary Tuberculosis

Shogan PJS - MedPix (2008)

Lateral chest radiograph two weeks later demonstrates new right middle lobe opacity.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1475&req=5

MPX1475_synpic40022: Lateral chest radiograph two weeks later demonstrates new right middle lobe opacity.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Primary Pulmonary Tuberculosis

History: 16 month asymptomatic male and 3 year old asymptomatic sister with exposure to uncle from India.

Findings: 16 month male: Chest radiographs demonstrates focal air space opacity in the right lower lobe, and right hilar fullness. Contrast enhanced CT of the chest shows consolidation in the superior segment of the right lower lobe. Additionally, there is a heterogeneous mass in the right paratracheal region with foci of central hypodensity, and minimal peripheral enhancement, suggestive of necrotic lymphadenopathy. In the subcarinal region, there is contined area of central hypodenisty that is contiguous with the consolidated lung. 3 year old female: Chest radiographs demonstrate unilateral right sided hilar adenopathy. Repeat chest radiographs two weeks later demonstrate new right middle lobe opacity.

Ddx: Differential Diagnosis for Tuberculous Adenopathy. Metastases Histoplasmosis in endemic areas.

Dxhow: +AFB

Exam: +PPD.

No MeSH data available.