case_images: PMC10712253_01
case_images: PA CXR taken at presentation showed widening of the mediastinum with right paratracheal, right axillary calcified Lymph nodes (blue arrows) and air space opacity, effusion at right lower lung (black arrow).
case_images: PHMT-14-477-g0001.jpg
case_images: PMC10712253_01_PHMT-14-477-g0001.jpg
case_images: f0001
case_images: Chest radiography, postcontrast chest and abdominal computed tomography (CT) scan showed multiorgan involvement of tuberculosis evidenced by right paratracheal, right axillary and multiple mediastinal calcified lymphadenopathies with opacity at right lower lung (Figure 1).
case_images: Post-contrast axial chest and abdominal Ct images (a) chest at the level of carina demonstrating multiple peripherally calcified mediastinal LN (blue arrow) and anterior chest wall fluid collection with rim enhancement confirming abscess formation (white arrow), (b) lower chest images, demonstrating necrotic lung tissue with central and marginal calcification (black arrow) small abscess collection extending down is also noted (white arrow) and similar appearing multiple lymph nodes (blue arrow).
case_images: PHMT-14-477-g0002.jpg
case_images: PMC10712253_01_PHMT-14-477-g0002.jpg
case_images: f0002
case_images: The air space opacity showed area of necrosis and peripheral calcification, right anterior chest wall fluid collection with rim enhancement is seen that suggested abscess collection (Figure 2).
case_images: Post contrast abdominal Ct scan (a) Ct image at hepatic level, showing different size multiple central hypo enhancing lesion smaller ones having peripheral calcification (white arrow) and centrally located larger lesions with irregular rim enhancement (black arrow) (b) Ct image at L4/5 level multiple peripherally calcified lymphadenopathies (white arrow).
case_images: PHMT-14-477-g0003.jpg
case_images: PMC10712253_01_PHMT-14-477-g0003.jpg
case_images: f0003
case_images: Postcontrast abdominal scan at hepatic level demonstrate different size multiple central hypo enhancing lesions having peripheral calcification, centrally located larger lesions had irregular rim enhancement (Figure 3).
case_images: Small prevertebral abscess collection and endplate erosion (a) Sagittal cervical bone window demonstrating upper endplate erosion of T1 vertebra body (white arrow). (b) Sagittal soft tissue window at same level showing fluid in prevertebral space with faint rim enhancement (white arrow).
case_images: PHMT-14-477-g0004.jpg
case_images: PMC10712253_01_PHMT-14-477-g0004.jpg
case_images: f0004
case_images: Bone involvement was evidenced by small perivertebral collection with faint rim enhancement associated with T1 vertebral endplate erosion (Figure 4).    