PMC6589246_01
(a) CXR of the 1st day after admission. (b) CXR of the 3rd day after admission (the day of intubation).
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Chest X-ray showed multiple tiny nodules over bilateral lung field with alveolar infiltration over bilateral upper lobes, suspected as pulmonary tuberculosis with miliary tuberculosis (Figure 1(a)). On the 3rd day of hospitalization, progressive orthopnea developed with paradoxical respiration (Figure 1(b)).
(a) Computed tomography (CT) of chest in soft tissue window revealed lymphadenopathy over mediastinum and (b) multiple tiny nodules along with alveolar infiltration in lung window over bilateral upper lung fields, diagnosed as military tuberculosis combined with pulmonary tuberculosis.
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Computed tomography from local hospital revealed multiple tiny nodules over bilateral lung fields, hepatosplenomegaly, and lymphadenopathy over omentum plus mediastinum, which indicated disseminated tuberculosis (Figures 2(a) and 2(b)).