CTICasesScrofula (Active Tuberculosis)
▶ Watch on YouTube — age-restricted, cannot embed here
Imaging findings
The patient presented with a cough and neck swelling. Imaging showed a complex, fluid-filled neck collection with peripheral enhancement, accompanied by hyperplastic lymph nodes with low attenuation centers. In the lungs, there was subtle, tree-in-bud nodularity in the right upper lobe. Abdominal CT revealed low-attenuation lymphadenopathy in the celiac axis and splenic lesions.
Key takeaways
Scrofula, or tuberculous lymphadenitis, should be suspected in patients presenting with cervical lymphadenopathy with low attenuation centers, especially in the context of active pulmonary tuberculosis. The finding of tree-in-bud nodularity and splenic lesions supports the diagnosis of disseminated disease.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Typical Carcinoid TumorNeoplastic
- Minimal Aortic InjuryTrauma
- Pectus ExcavatumCongenital
- Straight Back SyndromeCongenital
- Diffuse Pulmonary OssificationMetabolic
- Aortic Pseudo-dissectionArtifact
- HibernomaNeoplastic
- Loeys-Dietz SyndromeCongenital
See all cases from April 29, 2016 →