Figure 11

Tubercular Infection. Frontal chest radiograph in a 14-year-old male, a K/C/O HIV/AIDS, reveals diffuse ill-defined nodular air-space opacities throughout bilateral lung fields (arrows, A), few of them showing areas of confluence and calcification. Ultrasound abdomen in same patient shows calcified granulomas in liver (arrow, B), spleen (arrow, C) and conglomerated mesenteric lymph nodes with discrete calcifications (arrow, D). Patient’s CD4 count was 655 cells/cu.mm. BAL isolated MDR-TB, Mantoux test was positive. Patient was put on ATT on the basis of these findings and showed significant clinical improvement. Follow-up (after 6 months) CXR shows resolution of nodular opacities and presence of multiple calcific lesions in bilateral lungs (arrows, E)