Presentation
Recent immigrant to Canada. Coughing. Radiologist who read initial chest X-ray saw right upper lobe cavitary change and suspected miliary pattern.
Patient Data
Age: 30 years
Gender: Male
From the case:
Pulmonary tuberculosis - miliary and endobronchial spread
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There is right upper lobe bronchiectasis with associated multilocular thick-walled cavities. Extensive tree-in-bud opacities in the right upper lobe and the superior segment of the right inferior lobe, suggesting endobronchial spread of infection. Diffuse miliary pattern of micronodules in both lungs, suggesting hematogenous spread of disease.
Case Discussion
Case shows patterns of both endobronchial and hematogenous spread of infection. Bronchoscopy specimens revealed tuberculosis.
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