A case of miliary tuberculosis with imaging features of hemophagocytic lymphohistiocytosis.

This is in the setting of immunosuppression with a known background of hemophagocytic lymphohistiocytosis, and previous travel to the South Pacific Islands.

Sputum was positive for acid-fast bacilli.

The patient passed away after developing multi-organ failure due to disseminated disease.

Case courtesy of Dr. Bradley Wray.