PMC4861862_01
Postcontrast CT at the level of the kidneys shows diffuse thickening and nodularity of the omentum (arrowheads in A, B), infiltration of the mesentery (arrow), and a small amount of hemoperitoneum (asterisks in A, B). In B, more inferiorly, note multiple prominent mesenteric lymph nodes and diffuse thickening of the small bowel. In C, in the pelvis, note a small volume of ascites in the rectovesicle space and enhancement of the peritoneal reflections due to peritonitis. D, a photograph taken during laparoscopic biopsy, that shows the innumerable micronodules covering the surface of the small bowel. Histologically, these micronodules were found to have caseating and noncaseating granulomatous inflammation with acidfast organisms, consistent with tuberculosis.
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fig1
In the pelvis, there was a small volume of ascites in the rectovesicle space and enhancement of the peritoneal reflections due to peritonitis (Fig. 1). The small bowel was covered with micronodular inflammatory nodules typical of a miliary spread of infection (Fig 1D).
A) Portable chest radiograph and B) CT showing a subtle cluster of airspace opacities in the right upper lobe (arrow).
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A CXR and CT of the chest of this patient demonstrating right-upper-lobe airspace opacities can be seen in Figure 2.