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Miliary tuberculosis

Imaging findings

Chest CT shows diffuse, random, fine miliary nodules throughout both lungs, with larger, well-defined nodules in the lung bases containing patent airways, in a patient with myelofibrosis. Sputum grew Mycobacterium tuberculosis.

Key takeaways

Miliary tuberculosis in immunocompromised hosts can present with an atypical combination of diffuse miliary nodules and larger basal nodules. It carries a high mortality rate and requires prompt diagnosis and therapy.

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