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Tuesday, 29 May 2018

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



Man 45 yo  with  cough  and  back pain.

Chest X-rays 1:  diffuse micronodular  at right/left lungs;  

X-rays 2:  spinal bone  shows compression of
lumbar spine L1 and L 2.




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.


  

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