044Lu Chronic Inactive TB Lymphatic Distribution

48-year-old male with history of TB presents with back pain
AP view of the spine shows complex lesion in the right apex characterized by fibronodular opacities and retraction. There are scattered calcifications throughout the lungs but some are centered around the lymphatics, including the interlobular septa and centrilobular region

INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
Ashley Davidoff MD

ZOOMED IMAGE OF THE LEFT LUNG SHOWS MULTIPLE CALCIFIED NODULES
INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
48-year-old male with history of TB presents with back pain
AP view of the spine shows complex lesion in the right apex characterized by fibronodular opacities. There are scattered calcifications throughout the lungs but some are centered around the lymphatics, including the interlobular septa and centrilobular region
Ashley Davidoff MD

FIBRONODULAR CHANGES IN THE RIGHT APEX, WITH VOLUME LOSS RETRACTION AND CALCIFICATION
Ashley Davidoff MD

FIBRONODULAR CHANGES IN THE RIGHT APEX, WITH VOLUME LOSS RETRACTION AND CALCIFICATION – INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
Ashley Davidoff MD

CALCIFICATION ALONG LYMPHOVASCULAR BUNDLES (red arrows)
INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
Ashley Davidoff MD

ZOOMED IN VIEW
CALCIFICATION ALONG LYMPHOVASCULAR BUNDLES (red arrows)
INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
Ashley Davidoff MD

INACTIVE TUBERCULOSIS CHARACTERIZED BY STABLE FIBRONODULAR CHANGES, INCLUDING SCARRING, PERIBRONCHIAL FIBROSIS, BRONCHIECTASIS, ARCHITECTURAL DISTORTION, AND NODULAR OPACITIES IN THE RIGHT APEX
INACTIVE SECONDARY TB WITH EXTENSIVE PARENCHYMAL AND LYMPHOVASCULAR INVOLVEMENT
Ashley Davidoff MD

CALCIFICATION ALONG LYMPHOVASCULAR BUNDLES, IN BOTH INTERLOBULAR AND CENTRILOBULAR DISTRIBUTION
Ashley Davidoff MD

ZOOMED IN VIEW – CALCIFICATION ALONG LYMPHOVASCULAR BUNDLES, IN BOTH INTERLOBULAR AND CENTRILOBULAR DISTRIBUTION
Ashley Davidoff MD

SMALL CALCIFIED HILAR LYMPH NODES
Ashley Davidoff MD