Cystic Lung Changes in a Patient With Pulmonary Tuberculosis

Kun-Eng Lim, Yav-Kuang Wu, Shiu-Feng Huang, Yuan-Yu Hsu, Cheng-Yi Chan, Yueh-Hua Tsai, Hsu-Chao Chang, Hsiu-Wen Kuo
2010 Tzu-Chi Medical Journal  
A 32-year-old male had complained of a dry cough on and off for 1 year. Chest radiography revealed reticular infiltration of bilateral lungs. Chest computed tomography showed multiple thin-walled cystic lesions of bilateral lungs with a scattered tree-in-bud appearance. Histological diagnosis obtained via a video-assisted thoracoscopic lung biopsy indicated pulmonary tuberculosis. The cystic lesions regressed after antituberculous chemotherapy. Active pulmonary tuberculosis presenting as
more » ... resenting as multiple cystic lung lesions on computed tomography is very rare. Here, we report the computed tomographic findings for this patient and review the literature. [Tzu Chi Med J 2010;22(2):111-114] Tuberculosis adult-onset patient with active PTB who presented with multiple cystic lung lesions on CT. We report this rare CT finding and review the literature. Case report A 32-year-old immunocompetent man had complained of dry cough on and off for more than 1 year. He had smoked two packs of cigarettes per day for more than 10 years. His physical examination was unremarkable. Routine blood biochemistry and urine tests were normal. The results of a sputum smear and culture were negative for acid-fast bacilli. Cytological examination of the sputum revealed no malignant cells.
doi:10.1016/s1016-3190(10)60051-1 fatcat:bmf7mfpr6fg6dhqhl7e3eq66zi