Tzu Chi Medical Journal
Volume 22, Issue 2 , Pages 111-114, June 2010

Cystic Lung Changes in a Patient With Pulmonary Tuberculosis

  • Kun-Eng Lim

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, 289, Jianguo Road, Jindian, Taipei, Taiwan
    • ,
  • Yav-Kuang Wu

      Affiliations

    • Department of Pulmonary Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Shiu-Feng Huang

      Affiliations

    • Department of Pathology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yuan-Yu Hsu

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Cheng-Yi Chan

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Yueh-Hua Tsai

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsu-Chao Chang

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
    • ,
  • Hsiu-Wen Kuo

      Affiliations

    • Department of Medical Imaging, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan

Received 11 May 2009; received in revised form 22 June 2009; accepted 6 April 2010.

Abstract 

A 32-year-old male had complained of a dry cough on and off for 1 year. Chest radiography revealed reticular infiltration of bilateral lungs. Chest computed tomography showed multiple thin-walled cystic lesions of bilateral lungs with a scattered tree-in-bud appearance. Histological diagnosis obtained via a video-assisted thoracoscopic lung biopsy indicated pulmonary tuberculosis. The cystic lesions regressed after antituberculous chemotherapy. Active pulmonary tuberculosis presenting as multiple cystic lung lesions on computed tomography is very rare. Here, we report the computed tomo-graphic findings for this patient and review the literature.

Keywords:  Computed tomography , Cystic lesions , Lung , Tuberculosis

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PII: S1016-3190(10)60051-1

doi:10.1016/S1016-3190(10)60051-1

Tzu Chi Medical Journal
Volume 22, Issue 2 , Pages 111-114, June 2010

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