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Disseminated Tuberculosis

Imaging findings

A 20-year-old patient presented with large abscess-like collections in the pelvis and paraspinal muscles, associated with osteolysis. Chest CT showed a miliary nodular pattern in the lungs.

Key takeaways

Disseminated TB can present with significant soft tissue involvement and abscess formation even in otherwise healthy, non-immunosuppressed individuals from endemic areas. TB should be considered in the differential for multi-focal abscesses and osteomyelitis.

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