CTICasesActive Pulmonary Tuberculosis in an AIDS Patient
Imaging findings
CT in an HIV/AIDS patient shows right lower lobe consolidation with cavitation and endobronchial tree-in-bud spread, accompanied by prominent mediastinal lymphadenopathy with necrotic rim enhancement.
Key takeaways
Pulmonary tuberculosis in AIDS patients typically behaves like primary TB rather than post-primary TB. It frequently presents with consolidations in the lower lobes, prominent necrotic mediastinal lymphadenopathy, and a lack of classic upper lobe cavitations.
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