case_images: PMC11056642_01
case_images: Large left lung mass with multiple bilateral pulmonary nodules.
case_images: qmj-2024-qitc-02-005-g001.jpg
case_images: PMC11056642_01_qmj-2024-qitc-02-005-g001.jpg
case_images: fig1
case_images: This revealed a large mass in the left upper lobe encasing the left hilar structures, with multiple bilateral nodules along with enlarged mediastinal lymph nodes and multiple lesions in the liver concerning for metastatic malignancy (Figures 1 and 2a).
case_images: (a) homogenous opacity in the left upper lobe, (b) partial resolution after 3 months of treatment.
case_images: qmj-2024-qitc-02-005-g002.jpg
case_images: PMC11056642_01_qmj-2024-qitc-02-005-g002.jpg
case_images: fig2
case_images: This revealed a large mass in the left upper lobe encasing the left hilar structures, with multiple bilateral nodules along with enlarged mediastinal lymph nodes and multiple lesions in the liver concerning for metastatic malignancy (Figures 1 and 2a). He was started on anti-tuberculous therapy and the follow-up showed improvement clinically and radiologically (Figure 2b).
case_images: Lung mass biopsy showing necrotizing granulomatous inflammation.
case_images: qmj-2024-qitc-02-005-g003.jpg
case_images: PMC11056642_01_qmj-2024-qitc-02-005-g003.jpg
case_images: fig3
case_images: However, a CT-guided biopsy of the lung followed by liver lesion showed necrotizing granulomatous inflammation and positive TB PCR, confirming the diagnosis of TB (Figure 3).