Disseminated tuberculosis

Case contributed by Aaron Ow
Diagnosis certain

Presentation

Cough.

Patient Data

Age: 30 years
Gender: Male
x-ray

Right paraspinal opacity extending below the hemidiaphragmatic border.

Fine, bilateral miliary opacities projecting within both lungs.

Oblique, linear opacities at the base of the neck were thought to represent skin folds.

Case Discussion

Subsequent CT and MRI demonstrated the right paraspinal opacity to be paraspinal abscess, which was aspirated and tuberculosis was confirmed as the cause. 

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