Small pleural effusion may occur in 18% of patients.Lymphadenopathy is also uncommon in secondary tuberculosis.Pneumothorax is rare but may be seen in 5% of patients.Despite being rare, superinfection of the cavities may occur and an air-fluid level is seen inside the cavity.Cavities in the lower lung can be found in diabetes and HIV infection.It may be observed in almost 50% of patients.It has thick walls and irregular margins.Cavitation, that is the most commonly observed finding in secondary tuberculosis.Patchy consolidation is poorly defined.The X-ray findings in secondary or r eactivated tuberculosis include:.However, lesions can be present anywhere in the lungs. Secondary tuberculosis usually targets the upper lobes, particularly the apical and posterior segments.Unilateral pleural effusion can be seen as a complication of primary tuberculosis.Tuberculomas ( opacities similar to a lung mass) can be seen in 5% of patients and can reach 4 cm in size.Less than 50% of adults with primary tuberculosis present with hilar lymphadenopathy.Children often present with hilar lymphadenopathy on chest X-ray, which can be present in up to 95% of children with active tuberculosis. Primary tuberculosis may affect any part in the lung.The 3 major findings on chest X-ray are parenchymal infiltrates, hilar adenopathy, and pleural effusion.Pulmonary tuberculosis is often present in the upper lobes.Īn anteroposterior chest X-ray is one of the main imaging tests to be done in a patient with tuberculosis or suspected tuberculosis. Chest X-ray may show parenchymal infiltrates, hilar adenopathy, cavitation, nodules and pleural effusion. X-ray is a main diagnostic method for pulmonary tuberculosis. Associate Editor(s)-in-Chief: Mashal Awais, M.D. Risk calculators and risk factors for Tuberculosis chest x rayĮditor-In-Chief: C. Natural History, Complications and PrognosisĪmerican Roentgen Ray Society Images of Tuberculosis chest x rayĪll Images X-rays Echo & Ultrasound CT Images MRIĭirections to Hospitals Treating Tuberculosis Differentiating Tuberculosis from other Diseases
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