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Pulmonary Tuberculosis mimicking Lung Cancer

Imaging findings

Chest CT shows a hot, FDG-avid speculated lung mass with tree-in-bud and centrilobular satellite nodules in the adjacent lung parenchyma. Biopsy and DNA probe confirmed Mycobacterium tuberculosis.

Key takeaways

Pulmonary tuberculosis can present as a solitary, speculated mass mimicking primary bronchogenic carcinoma on imaging and PET. The presence of tree-in-bud or centrilobular satellite nodules is a key clue favoring an infectious/granulomatous process.

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