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Scrofula (Tuberculosis)

Imaging findings

Low attenuation necrotic masses in the neck, subcutaneous edema, skin thickening, mediastinal and abdominal lymphadenopathy, and eventual drainage through the skin.

Key takeaways

This case demonstrates primary tuberculosis presenting as scrofula with significant necrotic nodal involvement. Clinicians should consider TB in cases of unexplained necrotic lymphadenopathy.

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