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Tuberculosis: chest CT with findings of mycobacterial vs fungal disease

image of 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/ µ L, 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