Tuberculous lymphadenitis in a 27-year-old women with cachexia, loss of appetite and cough. Axial abdominal CT image shows enlarged mesenteric, periaortic, and portahepatis lymph nodes (LNs), (short arrows) due to TB, which usually involves multiple groups, such as mesenteric and upper paraortic LNs. The image also shows relatively dense ascites and remarkable omental thickening forming cake-like mass (long arrow).