FINAL DIAGNOSE CASE-7

  FINAL DIAGNOSE CASE NO.--7 (FB & INSTA)

📸 Radiology Case #7

👩‍⚕️ H/O: 23-year-old female
📍 Symptoms: Cough with sputum & shortness of breath, mild fever..
🧠 Diagnosis? ➡️ Tuberculosis.

🩻 CT Findings:


Image-1

✅ Multiple nodular opacities with“ tree in bug” appearance noted in bilateral lung field.


Image-2

✅ Fibrosis with traction bronchiectasis noted in bilateral lung fields.


Image-3

✅ Small volume mediasternal Lymphnodes seen..

F/s/o- Tuberculosis..

🧬 Differential Considerations:

  • 🌬️ Post-infectious bronchiectasis
  • 🦠 Tuberculosis sequelae
  • 🧪 Primary ciliary dyskinesia
  • ⚠️ Early Cystic Fibrosis (less likely at this age)

💡 Teaching Point:
Bronchiectasis in young adults should raise suspicion for underlying systemic or genetic conditions. Always correlate with clinical history, PFTs, and sputum cultures.

🧠 What else would you consider in the differential? Drop your thoughts below! 👇
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