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)
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
- night sweats,
- 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