Miliary tuberculosis

Case contributed by Abdallah Al Khateeb
Diagnosis almost certain

Presentation

Fever, significant weight loss, deteriorating liver function.

Patient Data

Age: 40 years
Gender: Female
x-ray

Bilateral lung fields interstitial opacities.

ct

Numerous fine nodules scattered in both lung fields in a random fashion.
No mediastinal lymphadenopathy. 
No cavitary lesions.

Case Discussion

Bronchoalveolar lavage showed acid fast bacilli of tuberculosis.

Subsequent liver biopsy also showed tuberculosis.

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