Dx: Adenocarcinoma, primary lung origin, bronchoalveolar carcinoma
60 year old Chinese immigrant with complaints of dry cough for 3 months. AFB sputum smear is negative.
Dx: Adenocarcinoma, primary lung origin, bronchoalveolar carcinoma
60 year old Chinese immigrant with complaints of dry cough for 3 months. AFB sputum smear is negative.
MILLIARY TUBERCULOSIS (my first choice),
would PCP look like this on X-ray???
Disseminated Histomplasmosis
Sarcoid or TB
- Dr. Morelli
I vote for miliary TB -- 3mo cough, Chinese, L apical cavitation with miliary lesions. Too many/too small lesions for septic emboli. Doesn;t look like inhaled process.
Miliary TB or bronchiolitis
Miliary TB. Was cough the only symptom?
Disseminated TB although the nodules look bigger than I thought they would look
Miliary Tuberculosis.
Miliary TB
Miliary TB is named so because the nodules are the size of millet seeds (1-5mm with a mean of 2 mm). In addition, in miliary TB other organs are frequently involved (liver, spleen, kidneys, adrenals, meninges, especially in kids), because this is a hematogenous spread.
These nodules look larger, but they do look like hematogenous spead, may be it make sense to check other organs.