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50M with Cavitating Nodule on CXR BAL yielded Mycobacterium Mycobacterium Kansasii
Ashley Davidoff MD
TheCommonVein.net
50M with Cavitating Nodule on CT scan.
BAL yielded Mycobacterium Kansasii
Ashley Davidoff MD
TheCommonVein.net
Reactivation TB
CXR reveals a dense consolidation in the right upper lobe (red arrow) with questionable air-fluid level. No pneumothorax. No pleural effusions. Differential includes right upper lobe pneumonia or tuberculosis. CT is recommended for further evaluation if there is concern for a cavity.
Courtesy Joseph Cannella,
Dr. Christina LeBedis, MD, MS
CTPA reveals a large consolidation in the right upper lobe and superior segment of the right lower lobe spans approximately 8.8 x 5.6 x 9.4 cm and extends to the pleura. There are multiple internal cavitations (red arrows) with air-fluid levels. These large predominately right upper lobe cavitary lesions are consistent with clinical concern for tuberculosis pneumonia, however follow-up with chest CT in 3 months post-treatment is recommended to exclude other less likely causes of cavitary lesions, such as malignancy.
Courtesy Joseph Cannella,
Dr. Christina LeBedis, MD, MS
CT Active TB Cavitation and Ipsilateral Transbronchial Spread with Extensive Tree in Bud Pattern 
39-year-old immigrant Vietnamese male presents night sweats fever and cough
CXR shows a cavitating lesion in the apex of the right lung (magnified lower image, right) associated with an ipsilateral micronodular pattern (magnified lower image, left)
Although the right lung has the appearance of a ?miliary? pattern, this term is usually referred to the hematogenous spread of the disease
Ashley Davidoff MD TheCommonvein.net 131708cL
CT Active TB Cavitation and Ipsilateral Transbronchial Spread with Extensive Tree in Bud Pattern
39-year-old immigrant Vietnamese male presents night sweats, fever, and cough. CT in the coronal plane of the chest shows a large cavitating lesion in the right upper lobe, with innumerable micronodules dominantly in the right midlung field, and to lesser extent in the right upper lung field. Some micronodules are probably present in the left lower lobe as well. Close to the largest subsegmental consolidation there is a bronchus which shows thickening of its wall.
Although it has the appearance has a ?miliary? pattern, this term is usually referred to the hematogenous spread of the disease
Ashley Davidoff MD TheCommonvein.net 135786c
006Lu
CT Active TB Cavitation in the Right Upper Lobe
39-year-old immigrant Vietnamese male presents night sweats fever and cough. CT in the axial plane of the chest shows a large cavitating lesion in the right upper apex.
Ashley Davidoff MD TheCommonvein.net 135787 006Lu 006Lu