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Compare
the pathological image-left and the physiological image-right
(blinded)
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F:
there
is a thick walled cavity in the left apical and posterior segments of the upper
lobe with surrounding consolidation
H:
Adult
man, 81-years-old, cough, fever, night sweats, haemoptysis, diabetes mellitus,
alcohol abus
INFO/WWW-LINKS:
Any form of immuncompromise may cause a post-primary TB: e.g. malignancy,
diabetes mellitus, treatment with steroids, HIV and in elderly patients. In
cavitating TB (one
form of post-primary TB) you may find fibrocavitary apical disease and pneumonic
infiltrates
D:
cavitating
tuberculous infection in the left upper lobe, with surrounding consolidation
and pneumonic infiltrates
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