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AIDS-Related Pulmonary Tuberculosis

Imaging findings

CT in an AIDS patient with pulmonary tuberculosis shows upper lobe consolidations and cavitations, accompanied by prominent mediastinal lymphadenopathy with central necrotic hypoattenuation.

Key takeaways

Pulmonary tuberculosis in immunocompromised patients (such as those with AIDS) is frequently accompanied by prominent, necrotic lymphadenopathy, reflecting an impaired cellular immune response that fails to contain the infection.

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