CTICasesPulmonary tuberculosis in an immunocompromised patient
Imaging findings
CT scan of a patient on long-term immunosuppressants shows asymmetric centrally necrotic left hilar lymphadenopathy and clustered peri lymphatic nodules in the left lower lobe.
Key takeaways
Tuberculosis in immunocompromised hosts can present with necrotic lymphadenopathy and asymmetric parenchymal nodules. Distinguishing it from sarcoidosis is critical, as immunosuppressive therapies will worsen active infection.
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