CT Chest: Manifestations of TB

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CT Chest: Manifestations of TB

  1. 1. IMAGE OF THE WEEK<br />BY <br />Prof . P.VIJAYARAGAVAN‘S UNIT <br />K.M.JEYABALAJI Ist Yr PG <br />
  2. 2. HISTORY<br />A 40yr old male came with c/o<br />Right sided chest pain past 1 week<br />Pleuritic in nature<br />Breathlessness for past 1 week<br />Hemoptyis Occasionally <br />No h/o PND, orthopnoea<br />No h/o fever<br />No other specific complaints<br />
  3. 3. Past history:<br />H/o pulmonary tuberculosis 1 yr back Rx completed<br />Not a known DM/HT.<br />Personal history:<br /><ul><li>Not a smoker,alcoholic.</li></ul>Family history:<br /><ul><li>No specific family history</li></li></ul><li>X RAY<br />
  4. 4.
  5. 5. X RAY SHOWS<br />X ray chest PA view<br />Centraly placed <br />Poor penetration<br />Bone & soft tissue shadows normal<br />Trachea shifted to left<br />Mediastinum shifted to left <br />
  6. 6. Heterogenous opacities seen in right upper lobe<br />Right upper lobe pleural thickening seen<br />A sausage shaped hypodensity seen in left upper and middle zone without vascular markings<br />Multiple Fibrotic strands with cystic changes seen in left lower lobe<br />An air fluid level seen in left lower lobe<br />Rt side costophrenic angle obliterated<br />Lt side costophrenic angle free<br />
  7. 7.
  8. 8. UPPER SECTION<br />
  9. 9. LOWER SECTIONS<br />
  10. 10. CT FINDINGS<br /> A thick walled fibrocavity in right upper lobe<br />Pleural effusion right side<br />Left side multiple emphysematous bullae with interweningseptations<br />Left lower lobe bronchiectatic changes<br />Mediastenal shift to left side<br />Destroyed lung left side<br />
  11. 11. CONCLUSION<br />Left upper & middle lobe emphysematous bullae<br />Left LL bronchiectasis<br />Left LL cystic changes with air fluid level & multiple fibrotic strands<br />Destroyed lung left side<br />Rt side minimal pleural effusion<br />Rt upper lobe fibocavity<br />
  12. 12. DISCUSSION<br /> PRIMARY TB:<br />Pediatric case- hilarlymphadenopathy (MC)<br />Adult case- Effusion (MC)<br />PROGRESSIVE PRIMARY TB:<br />Cavity (MC)<br />POST PRIMARY TB REACTIVATION:<br />Cavity<br />Bronchiectasis<br />Emphysematous bullae<br />Pleural effusion<br />Air fluid level<br />
  13. 13.
  14. 14. THANK YOU<br />

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