CTICasesTuberculous Lymphadenitis with Esophago-nodal Fistula
Imaging findings
Necrotizing mediastinal/hilar lymphadenopathy with peripheral enhancement and central low attenuation. A small amount of gas outside the esophageal lumen suggested a fistula between the esophagus and a lymph node.
Key takeaways
Primary tuberculosis can present in adults with manifestations traditionally associated with childhood cases, such as necrotizing lymphadenopathy and pleural effusions, even in immunocompetent patients.
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