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Atypical mass-like pulmonary tuberculosis

Imaging findings

CT scan shows mass-like consolidation in the lingula and left lower lobe with air bronchograms, along with associated bronchiectasis, narrowing of the bronchus intermedius, and subcarinal lymphadenopathy.

Key takeaways

Tuberculosis can present atypically as large, mass-like areas of consolidation mimicking lung cancer or aspiration pneumonia. Endobronchial involvement can cause bronchial stenosis and post-obstructive bronchiectasis.

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