CT Chest: Manifestations of TB
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Transcript of CT Chest: Manifestations of TB
IMAGE OF THE WEEK
BY Prof . P.VIJAYARAGAVAN‘S UNIT
K.M.JEYABALAJI Ist Yr PG
HISTORYA 40yr old male came with c/o
Right sided chest pain past 1 weekPleuritic in nature
Breathlessness for past 1 weekHemoptyis Occasionally No h/o PND, orthopnoeaNo h/o feverNo other specific complaints
Past history:H/o pulmonary tuberculosis 1 yr back Rx
completedNot a known DM/HT.
Personal history: Not a smoker,alcoholic.
Family history: No specific family history
X RAY
X RAY SHOWSX ray chest PA viewCentraly placed Poor penetrationBone & soft tissue shadows normal
Trachea shifted to leftMediastinum shifted to left
Heterogenous opacities seen in right upper lobe
Right upper lobe pleural thickening seenA sausage shaped hypodensity seen in left
upper and middle zone without vascular markings
Multiple Fibrotic strands with cystic changes seen in left lower lobe
An air fluid level seen in left lower lobeRt side costophrenic angle obliteratedLt side costophrenic angle free
UPPER SECTION
LOWER SECTIONS
CT FINDINGS A thick walled fibrocavity in right upper lobePleural effusion right sideLeft side multiple emphysematous bullae with
interwening septationsLeft lower lobe bronchiectatic changesMediastenal shift to left sideDestroyed lung left side
CONCLUSIONLeft upper & middle lobe emphysematous
bullaeLeft LL bronchiectasisLeft LL cystic changes with air fluid level &
multiple fibrotic strandsDestroyed lung left sideRt side minimal pleural effusionRt upper lobe fibo cavity
DISCUSSIONPRIMARY TB:
Pediatric case- hilar lymphadenopathy (MC) Adult case- Effusion (MC)
PROGRESSIVE PRIMARY TB: Cavity (MC)
POST PRIMARY TB REACTIVATION: Cavity Bronchiectasis Emphysematous bullae Pleural effusion Air fluid level
THANK YOU