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Miliary Tuberculosis

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Imaging findings

Chest radiograph demonstrated a very fine nodular abnormality in the lungs. CT confirmed numerous miliary nodules, randomly distributed throughout the lungs, which were dramatically highlighted on MIPS imaging. The patient later developed a right pleural effusion.

Key takeaways

Miliary tuberculosis presents with widespread fine nodular lung abnormalities, which are accentuated on MIPS imaging. Miliary tuberculosis, a blood-borne form, can manifest in both primary and later stages of tuberculosis, not exclusively in reactivation. Pleural effusion and lymphadenopathy are common presentations of primary tuberculosis.

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