ACTIVE TB – Reactivation PLEEUARAL EFFUSIONS

80 year old Russian woman who intially presented with a cavitating LUL nodule that was biopsied and thought to represent sarcoidosis

In December the nodules in the LUL enlarged with an arborising pattern involving the posterior subsegment of the LUL as well as an unchanged RUL ground glass infiltrate
Susequent diagnosis of TB was made

Initially there wasprogressive disease in the LUL and lingula with new cavitation in the lingula infiltrate/nodule and extension of the infiltrate in the LUL with a new calcification. These findings were consistent with reactivation TB .

Repeated sputa were positive for acid fast bacilli

More recently new micronodularity was noted in the right lung .
Now 1 month later she presents with a large right pleural effusion and a smaller left effusion

2.5 years prior

 

2 Months after the Biopsy

 

In the next 3 Months

Multiple Test ConfirmTB

 

3 Months Later