Fig. 12
Tubercular Infection. A 17-year-old HIV-positive female presented with cough & fever for 7 days. CXR shows patchy consolidation (white arrow, A) in right lower zone, and prominent right hilum with lobulated lateral margin (black arrow, A). CECT CHEST (axial view) reveals consolidated posterior segment of RUL (black arrow, B), and multiple ill-defined centrilobular nodules in anterior segment of RUL (white arrows, B). Precarinal/subcarinal (black arrows, C) and right hilar (white arrow in C, just lateral to truncus anterior) lymph nodes, with subtle internal areas of necrosis, are seen on mediastinal window. Patient’s Mantoux test was positive. Her CD4 count during this episode was 657 cells/mm3. Sputum and BAL could not isolate any microorganism. On the basis of these findings, ATT was started and patient showed clinical and radiological improvement (D) on completion of the therapy