Demographics:
62 years old, Male
Indication:
Cough, night sweats
Findings
Chest radiograph
- Biapical scarring with possible area of cavitation in the right lung apex
CT
Chest
- Bilateral apical cavitary lesions with scattered calcifications and thick, irregular walls extending to the pleural surfaces
- 8 mm soft tissue density structure within the area of cavitation in the left upper lobe
- Upper lobe predominant moderate centrilobular and paraseptal emphysema
- Noncalcified 6 mm nodule in the right lower lobe. Additional scattered calcified granulomas
- Thoracic aortic atherosclerosis without aneurysm
- Heavy coronary artery calcification
Upper abdomen
- No acute findings
MSK
- No acute findings
Diagnosis
Pulmonary tuberculosis
Sample Report
Bilateral apical cavitary lesions, which given the clinical history are most concerning for reactivation tuberculosis. Recommend correlation with laboratory analysis.
A small soft tissue nodule within the left upper lobe cavitary lesion may represent a superimposed fungus ball.
Indeterminate 6 mm right lower lobe nodule. Recommend follow-up chest CT in 12 months for further evaluation.
Discussion