CASE 495: LUNG in MILIARY TUBERCULOSIS, Dr HỒ CHÍ TRUNG, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

8 Lung US  shows  thickening of   pleural  spaces and  many B- line signs  ( US 1, US 2) US 3:  hypoechoic mass on the left site of  paravertebral L1, and US 4: cystic mass of scrotum. MSCT  of lung and  body with CE: CT1, CT 2: micronodular  lungs CT 3 , CT 4:   spine with  osteolytic appearance CT 5, CT 6:  mass in left psoas muscle. Radiology report is  miliary tuberculosis of the lung and Pott ‘s abscess  and scrotum abscess Puncture  of scrotum abscess   removed the pus like caseum. Analysis of  this pus  =ADA very high  63.64 ng (n<30 in pus). Summary=  It is the case of diffuse tuberculosis.

After 2 months of TB treatment, clinical status processes well. X-Ray film, ultrasound cannot reveal psoas muscle and testis lesions.