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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 24 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 24

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Four year old female exposed to active tuberculosis, with a positive PPD

Clinical History:
The patient was a 4 year old female exposed to active tuberculosis by a sibling. The patient has just undergone a PPD conversion.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Positive PPD

Clinical Differential Diagnosis:
Tuberculosis

Imaging Findings:
A chest film demonstrated prominent bilateral hila, suggesting hilar adenopathy. A chest CT exam from 4 days later revealed bilateral hilar adenopathy and infiltrate/atelectasis in the left upper lobe.

icon gificon gifImages 1 and 2

icon gificon gifImages 3 and 4

Imaging Differential Diagnosis:
Tuberculosis

Operative Findings:
None

Pathological Findings:
None

Final Diagnosis:
Tuberculosis

Follow-up and Prognosis:
Not available.

Similar Cases:
None

References:

Title Page


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