Radiographic Studies

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Tuberculosis: chest CT with findings of mycobacterial vs fungal disease

Description

Computed tomograph (CT) scan of the chest of an HIV-infected patient, CD4 count <50 cells/µL, revealing bilateral pleural effusions and multiple low-attenuation (suggesting necrosis) subcarinal and hilar lymph nodes. The presence of low-attenuation intrathoracic adenopathy is suggestive of either mycobacterial or fungal disease. This patient was diagnosed with tuberculosis by pleural biopsy.

Credits

Laurence Huang, MD, University of California San Francisco

See related article in the HIV InSite Knowledge Base:
Pulmonary Manifestations of HIV

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