CTICasesPulmonary tuberculosis
Imaging findings
Chest radiograph shows right paratracheal widening. CT chest obtained two days later shows a huge conglomerate of necrotic right paratracheal and supraclavicular lymph nodes, along with diffuse, tiny, random miliary nodules throughout both lungs in a renal transplant recipient.
Key takeaways
In immunocompromised hosts, tuberculosis frequently disseminates hematogenously, presenting as a miliary pattern of diffuse random nodules and necrotic lymphadenitis. Sputum yield can be high even without a dominant consolidation.
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