CTICasesCalcified Tuberculous Lymphadenitis
Imaging findings
Chest and neck radiographs demonstrate extensive, dense, confluent calcifications within the lymphatic chains of the bilateral neck, mediastinum, and hilum. Minimal residual parenchymal calcification and a single calcified splenic nodule are also visualized on imaging.
Key takeaways
Scrofula, or tuberculous lymphadenitis of the neck, is a manifestation of systemic Mycobacterium tuberculosis infection that typically presents in childhood. Over decades, the involved lymph nodes undergo caseous necrosis and extensive dystrophic calcification, resulting in a striking and characteristic "speckled" or dense calcified appearance of the cervical and mediastinal lymph nodes.
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