 Man 45 yo with cough and back pain. Chest X-rays 1: diffuse micronodular at right/left lungs; X-rays 2: spinal bone shows compression of lumbar spine L1 and L 2.   Lung US shows thickening of pleural spaces and many B- line signs ( US 1, US 2) US 3: hypoechoic mass on the left site of paravertebral L1, and US 4: cystic mass of scrotum.     MSCT of lung and body with CE: CT1, CT 2: micronodular lungs CT 3 , CT 4: spine with osteolytic appearance CT 5, CT 6: mass in left psoas muscle.       Radiology report is miliary tuberculosis of the lung and Pott ‘s abscess and scrotum abscess Puncture of scrotum abscess removed the pus like caseum.  Analysis of this pus =ADA very high 63.64 ng (n<30 in pus). Summary= It is the case of diffuse tuberculosis. |
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CASE 495: LUNG in MILIARY TUBERCULOSIS, Dr HỒ CHÍ TRUNG, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM
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