IMAGE OF THE WEEK
(WEEK 1)
PULMONARY TUBERCULOSIS
Multisystem disease, but pulmonary predominance
Common in this part of the world
Increasing drug resistance worldwide even to triple regime therapy
Radiological appearances
Typically in the upper lobes or apical segment of lower lobe
Consolidation with cavitation
May have associated volume loss
Mediastinal lymphadenopathy
Heals with fibrosis, calcification and pleural thickening
Prepared by Dr Ian Bickle, Consultant Radiologist, RIPAS Hospital, Brunei Darussalam.
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