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Reactivated Pulmonary Tuberculosis

Afiesimama BOA - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Reactivated Pulmonary Tuberculosis

History: Patient is a 62yo man who had several episodes of chest pain on exertion. Following a positive stress test, the patient was referred for cardiac catheterization. On admission, the patient denied any respiratory symptoms. Past history was remarkable for pneumonia with a pleural effusion which was tapped in 1958. As part of his precatheterization work-up, AP and lateral radiographs were done of his chest

Findings: The pertinent findings are in the right chest. On the AP view, a 4 cm. cavitary lesion is present in the right upper lobe. In the right apex, there is increased density which is diffuse with sane linearity. The minor fissure is somewhat elevated, the mediastinum is mildly shifted to the right, and the right hemidiaphragm is elevated. These findings suggest loss of lung volume on the right. The right costophrenic angle is blunted, and a meniscus may be seen at the right lateral base, suggesting an effusion. These same findings are seen on the lateral view as well.

Exam: Physical exam revealed a II/IV systolic ejection murmur. His lungs were clear to auscultation and percussion.

No MeSH data available.


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MPX1789_synpic39000: See case description


Reactivated Pulmonary Tuberculosis

Afiesimama BOA - MedPix (2007)

See case description
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1789&req=5

MPX1789_synpic39000: See case description

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Reactivated Pulmonary Tuberculosis

History: Patient is a 62yo man who had several episodes of chest pain on exertion. Following a positive stress test, the patient was referred for cardiac catheterization. On admission, the patient denied any respiratory symptoms. Past history was remarkable for pneumonia with a pleural effusion which was tapped in 1958. As part of his precatheterization work-up, AP and lateral radiographs were done of his chest

Findings: The pertinent findings are in the right chest. On the AP view, a 4 cm. cavitary lesion is present in the right upper lobe. In the right apex, there is increased density which is diffuse with sane linearity. The minor fissure is somewhat elevated, the mediastinum is mildly shifted to the right, and the right hemidiaphragm is elevated. These findings suggest loss of lung volume on the right. The right costophrenic angle is blunted, and a meniscus may be seen at the right lateral base, suggesting an effusion. These same findings are seen on the lateral view as well.

Exam: Physical exam revealed a II/IV systolic ejection murmur. His lungs were clear to auscultation and percussion.

No MeSH data available.