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Lung, Postprimary Tuberculosis: Multimedia
Updated: Sep 20, 2007
Multimedia
 | Media file 1: Posteroanterior chest radiograph from a 65-year-old man with a long history of smoking, chronic obstructive pulmonary disease (COPD), and childhood tuberculosis. The patient presented with a history of recent onset of coughing, as well as had a fever and night sweats. This image shows right-upper lung (RUL) bullous disease and suggests a left-lower lung (LLL) cavity. The LLL abnormality was new, appearing since his previous examination a year earlier, which was performed before the onset of his recent symptoms. |
 | Media file 2: Computed tomography scan, pulmonary window setting, in a 65-year-old man with a long history of smoking, chronic obstructive pulmonary disease (COPD), and childhood tuberculosis (same patient as in Image 1). This image shows a thick-walled, left-lower lung (LLL) cavity with an air-fluid level; a smaller, more medial cavity; and some lung parenchymal opacities. Acid-fast organisms were detected in the patient's sputum, and the culture results indicated the presence of Mycobacterium tuberculosis. |
 | Media file 3: Computed tomography scan, pulmonary window setting, in a patient with treated postprimary cavitary tuberculosis who had persistent hemoptysis. This scan shows a right-upper lung cavity with a dependent mass within the cavity and air around it. This is the so-called crescent sign, which is a characteristic finding for a mycetoma, usually an aspergilloma. |
 | Media file 4: Posteroanterior chest radiograph in an 83-year-old woman who was sent to the emergency department from her nursing home because of a recent history of productive cough, weight loss, and fatigue. Until recently, the woman was the social director at the nursing home. In her younger years, the patient had tuberculosis during her first pregnancy; this illness occurred before antibiotic therapy was used to treat tuberculosis. This image demonstrates extensive bilateral lung nodules and a cavity in a partially collapsed right upper lung. Sputum cultures were positive for tuberculosis. The nodules indicate endobronchial spread of the tuberculosis. |
 | Media file 5: Selective bronchial arteriogram in a patient with history of tuberculosis who presented with massive hemoptysis. This image reveals a Rasmussen aneurysm (left) that was embolized (right). |
 | Media file 6: Posteroanterior chest radiograph in a 31-year-old man with acquired immunodeficiency syndrome (AIDS) and a previous history of Pneumocystis carinii pneumonia (PCP). The patient developed shortness of breath, high-grade fever, and generalized lymphadenopathy. This image shows right mediastinal adenopathy and bilateral, uniformly tiny nodules. The man underwent biopsy by means of video-assisted thoracic surgery (VATS), with the resultant diagnosis of miliary tuberculosis. |
 | Media file 7: Computed tomography scan, pulmonary window, from a patient with postprimary tuberculosis. This image shows a miliary tuberculous pattern. Used with permission (Amorosa, 1999). |
 | Media file 8: Posteroanterior chest radiograph from a young female patient who presented with a cough, positive findings on skin testing with purified protein derivative of tuberculin (PPD), and a pleural effusion that was positive for acid-fast bacilli. This image shows a left pleural effusion and left lower-lobe consolidation. |
More on Lung, Postprimary Tuberculosis |
| Overview: Lung, Postprimary Tuberculosis |
| Imaging: Lung, Postprimary Tuberculosis |
| Follow-up: Lung, Postprimary Tuberculosis |
 Multimedia: Lung, Postprimary Tuberculosis |
| References |
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References
Cegielski JP, Chin DP, Espinal MA, et al. The global tuberculosis situation. Progress and problems in the 20th century, prospects for the 21st century. Infect Dis Clin North Am. Mar 2002;16(1):1-58. [Medline].
Rubin SA. Tuberculosis. Captain of all these men of death. Radiol Clin North Am. Jul 1995;33(4):619-39. [Medline].
Hopewell PC. A clinical view of tuberculosis. Radiol Clin North Am. Jul 1995;33(4):641-53. [Medline].
Ellis SM. The spectrum of tuberculosis and non-tuberculous mycobacterial infection. Eur Radiol. Mar 2004;14 (suppl 3):E34-42. [Medline]. [Full Text].
Dunlap NE, Bass J, Fujiwara P, et al. Diagnostic standards and classification of tuberculosis in adults and children. Ad-hoc committee of the Scientific Assembly on Microbiology, Tuberculosis, and Pulmonary Infections. Am J Respir Crit Care Med. Apr 2000;161 (4 pt 1):1376-95. [Medline]. [Full Text].
American Thoracic Society, Centers for Disease Control and Prevention, Infectious Diseases Society of America. Controlling tuberculosis in the United States. Am J Respir Crit Care Med. Nov 1 2005;172(9):1169-227. [Medline]. [Full Text].
Barnes PF, Lakey DL, Burman WJ. Tuberculosis in patients with HIV infection. Infect Dis Clin North Am. Mar 2002;16(1):107-26. [Medline].
Washington L, Miller WT Jr. Mycobacterial infection in immunocompromised patients. J Thorac Imaging. Oct 1998;13(4):271-81. [Medline].
McAdams HP, Erasmus J, Winter JA. Radiologic manifestations of pulmonary tuberculosis. Radiol Clin North Am. Jul 1995;33(4):655-78. [Medline].
Lalvani A. Diagnosing tuberculosis infection in the 21st century: new tools to tackle an old enemy. Chest. Jun 2007;131(6):1898-906. [Medline].
Pitman AG, Hicks RJ, Binns DS, et al. Performance of sodium iodide based (18)F-fluorodeoxyglucose positron emission tomography in the characterization of indeterminate pulmonary nodules or masses. Br J Radiol. Feb 2002;75(890):114-21. [Medline]. [Full Text].
Essentials of Radiology [CD-ROM]. Moraga, Calif: Medical Interactive; 1999. Amorosa JK.
Goo JM, Im JG. CT of tuberculosis and nontuberculous mycobacterial infections. Radiol Clin North Am. Jan 2002;40(1):73-87, viii. [Medline].
Poey C, Verhaegen F, Giron J, et al. High resolution chest CT in tuberculosis: evolutive patterns and signs of activity. J Comput Assist Tomogr. Jul-Aug 1997;21(4):601-7. [Medline].
Campbell IA, Bah-Sow O. Pulmonary tuberculosis: diagnosis and treatment. BMJ. May 20 2006;332(7551):1194-7. [Medline]. [Full Text].
Division of Tuberculosis Elimination, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. TB guidelines. Centers for Disease Control and Prevention. Available at http://www.cdc.gov/tb/pubs/mmwr/Maj_guide/List_date.htm. Accessed September 19, 2007.
Fujita J, Higa F, Tateyama M. Radiological findings of mycobacterial diseases. J Infect Chemother. Feb 2007;13(1):8-17. [Medline].
Griffith-Richards SB, Goussard P, Andronikou S, et al. Cavitating pulmonary tuberculosis in children: correlating radiology with pathogenesis. Pediatr Radiol. Aug 2007;37(8):798-804. [Medline].
Kim WS, Choi JI, Cheon JE, et al. Pulmonary tuberculosis in infants: radiographic and CT findings. AJR Am J Roentgenol. Oct 2006;187(4):1024-33. [Medline].
Kobashi Y, Obase Y, Fukuda M, et al. Clinical reevaluation of the QuantiFERON TB-2G test as a diagnostic method for differentiating active tuberculosis from nontuberculous mycobacteriosis. Clin Infect Dis. Dec 15 2006;43(12):1540-6. [Medline].
Koh WJ, Yu CM, Suh GY, et al. Pulmonary TB and NTM lung disease: comparison of characteristics in patients with AFB smear-positive sputum. Int J Tuberc Lung Dis. Sep 2006;10(9):1001-7. [Medline].
Washington L, Palacio D. Imaging of bacterial pulmonary infection in the immunocompetent patient. Semin Roentgenol. Apr 2007;42(2):122-45. [Medline].
Further Reading
Keywords
reactivation tuberculosis/TB, postprimary TB, primary tuberculosis/TB, progressive-primary tuberculosis/TB, Mycobacterium tuberculosis, Mycobacterium bovis, Mycobacterium africanum, Mycobacterium microti, Mycobacterium canetti, M tuberculosis, M bovis, M africanum, M microti, M canetti
