Miliary Tuberculosis: Short information

Chest X-ray of a 35 year male with Pulmonary Tuberculosis who is under Anti-tubercular Treatment CATEGORY II.He had pyopneumothorax on the right -side with collapsed lower lobe and Miliary seeding on the left lung. Chest drain was in-situ on Right-side.

His Chest X- ray shows diffuse ” Millet seed” lesions on Left side typical of Miliary Tuberculosis.

See the fullsize image –>> Photo focuses on “miliary TB’  seen in  left lung field . ( Right lung field excluded in the photo)

Miliary TB of lungs: Millet seeding

Miliary Tuberculosis of Lung : Typical "millet seed" lesions

Short Information about Miliary TB:

Blood-borne dissemination gives rise to miliary TB which may present acutely but more frequently is characterised by 2-3 weeks of

  • fever,
  • night sweats,
  • anorexia,
  • weightloss,
  • dry cough,
  • Hepatosplenomegaly may be present
  • Headache may indicate co-existent TB-Meningitis.
  • The classical X-ray appearance are those of 1-2 mm lesions (‘millet seed’) distributed through-out the lung fields, although occasionally the appearance are coarser.

Text Reference: Davidson’s Principal and Practice of Medicine.

Picture Credit : Sujit Shrestha

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