TB Cavitation

50M with Cavitating Nodule on CXR BAL yielded Mycobacterium Mycobacterium Kansasii
Ashley Davidoff MD
TheCommonVein.net
50M with Cavitating Nodule on CT scan.
BAL yielded Mycobacterium Kansasii
Ashley Davidoff MD
TheCommonVein.net
Reactivation TB
CXR reveals a dense consolidation in the right upper lobe (red arrow) with questionable air-fluid level. No pneumothorax. No pleural effusions. Differential includes right upper lobe pneumonia or tuberculosis. CT is recommended for further evaluation if there is concern for a cavity.
Courtesy Joseph Cannella,
Dr. Christina LeBedis, MD, MS
CTPA reveals a large consolidation in the right upper lobe and superior segment of the right lower lobe spans approximately 8.8 x 5.6 x 9.4 cm and extends to the pleura. There are multiple internal cavitations (red arrows) with air-fluid levels. These large predominately right upper lobe cavitary lesions are consistent with clinical concern for tuberculosis pneumonia, however follow-up with chest CT in 3 months post-treatment is recommended to exclude other less likely causes of cavitary lesions, such as malignancy.
Courtesy Joseph Cannella,
Dr. Christina LeBedis, MD, MS
39year old Vietnamese immigrant with a CXR showing cavitating and miliary TB
Ashley Davidoff MD TheCommonVein.net
Vietnamese TB 001
39year old Vietnamese immigrant with a CT showing cavitating TB lesion in the right apex and miliary TB
Ashley Davidoff MD TheCommonVein.net
Vietnamese TB 002
39year old Vietnamese immigrant with a CT at the lung apices showing cavitating TB lesion
Ashley Davidoff MD TheCommonVein.net
Vietnamese TB 002