Uncategorized
  • 40 yo man with PMHx of
    • latent TB

3 Months Prior

Presents with Abdominal Pain and fever

Splenomegaly with innumerable hypoattenuating foci throughout the spleen, for which differential diagnosis includes lymphoproliferative disorders, may be partially artifactual due to phase of contrast. In addition there is a new subcentimeter hypodense foci in the hepatic segment VI. Further characterization can be performed with MRI abdomen with nonemergently with and without contrast (liver mass protocol), if there are no contraindications.

2. New 1.3 cm left lower lobe basilar nodule.

3. New moderate to large volume intra-abdominal ascites and bilateral pleural effusions.

 

  • disseminated TB with
  • pulmonary TB,
  • lymphadenitis and
  • presumed peritoneal TB
  • liver lesions and elevated liver blood tests concerning for liver abscess,
  • Lymph Node Biopsy
    • SUPRACLAVICULAR LYMPH NODE BIOPSY:
      Needle core biopsies showing necrotizing granulomatous lymphadenitis.
      • AFB and GMS stains are negative for acid fast bacilli and fungal forms.