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Miliary Tuberculosis

Imaging findings

Chest radiograph and CT show diffuse, tiny, crisp nodules measuring 1-2 mm in a random distribution throughout both lungs, extending to the pleural and fissural surfaces. The patient presented with fevers, night sweats, and weight loss.

Key takeaways

Miliary tuberculosis is an AIDS-defining illness that results from hematogenous dissemination of Mycobacterium tuberculosis. Radiographically, it presents with a classic 'miliary' pattern of random, small nodules. Differential diagnosis includes hematogenous metastases and miliary fungal infections.

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