Fig. 10

Tubercular Infection. A 13-year-old HIV-positive male presented with fever of 2 weeks’ duration. Frontal chest radiograph (A) was normal. CT chest (axial view, lung window) revealed patchy areas of consolidation & ground-glass opacity in bilateral lung parenchyma (arrow in B,C,D). Conglomerate, mildly enhancing mediastinal lymph nodes were noted in subcarinal location (arrow, E) on mediastinal window. Patient’s CD4 count was 425 cells/cu.mm. BAL isolated Mycobacterium, and Mantoux test was positive. Patient started on ATT on the basis of these findings and showed significant clinical improvement