Kant Surya, Saheer S, Prakash Ved, Hasan Ghulam, Jabeed P, Husain Nuzhat
Department of Pulmonary Medicine, CSMMU, Lucknow, India.
BMJ Case Rep. 2011 Apr 13;2011:bcr1120103539. doi: 10.1136/bcr.11.2010.3539.
A 62-year-old lady presented with bilateral nodular lung opacities suspicious of metastatic disease on chest radiography and high-resolution CT. Histopathology, however, revealed caseating granulomas. The correct diagnosis of tuberculosis (TB) was confirmed when she responded clinically and radiologically to antitubercular treatment. TB should be considered in the differential diagnosis of bilateral nodular opacities which is the usual presentation of secondary malignancies of lung.
一位62岁女性，胸部X线和高分辨率CT显示双侧肺部有结节状阴影，怀疑为转移性疾病。然而，组织病理学检查显示为干酪样肉芽肿。当她对抗结核治疗出现临床和影像学反应时，确诊为肺结核（TB）。在鉴别诊断双侧结节状阴影时应考虑到肺结核，双侧结节状阴影是肺部继发性恶性肿瘤的常见表现。
