Lymphographical findings in disseminated tuberculosis without radiological lung manifestations.

Lymphographical findings are presented in three patients with verified tuberculosis. The diagnosis of tuberculosis was difficult in these patients because there were no actual changes in chest radiographs and the clinical findings were generally nonspecific. In each patient, lymphographic changes in lumbar lymph nodes were established. These changes corresponded to those described in the literature in connection with tuberculosis. Thus, the lymphographical findings can here be considered to be a further criterion for the diagnosis of tuberculosis. Lymphographical follow-up also proved beneficial in the follow-up of treatment results in one patient. Suspected tuberculosis, in which local findings cannot be made available by other means, can be regarded as one of the indications for a lymphography.