case_images: PMC5007905_01
case_images: A 71-year-old man with a history of chronic obstructive pulmonary disease, pulmonary hypertension, and prior pulmonary tuberculosis infection presenting with progressive dyspnea, diagnosed with tuberculosis-associated fibrosing mediastinitis. Chest posteroanterior radiograph showing bilateral peri-hilar soft tissue densities (white arrows) with right apical, pleural thickening and volume loss (black arrow head).
case_images: JCIS-6-32-g002.jpg
case_images: PMC5007905_01_JCIS-6-32-g002.jpg
case_images: F1
case_images: Chest radiograph demonstrated bilateral perihilar soft tissue densities with right apical scarring, pleural thickening and volume loss [Figure 1].
case_images: A 71-year-old man with a history of chronic obstructive pulmonary disease, pulmonary hypertension, and prior pulmonary tuberculosis infection presenting with progressive dyspnea, diagnosed with tuberculosis-associated fibrosing mediastinitis. Contrast-enhanced chest computed tomography, soft tissue window. (a-d) Demonstrates ill-defined, infiltrative bilateral hilar soft tissue densities with calcifications (white arrows); enlargement of the main and right pulmonary artery (black arrow heads); and irregular narrowing of the right mainstem and upper lobe bronchi (black arrow).
case_images: JCIS-6-32-g003.jpg
case_images: PMC5007905_01_JCIS-6-32-g003.jpg
case_images: F2
case_images: Contrast-enhanced chest CT revealed ill-defined, infiltrative bilateral hilar soft tissue densities with calcifications, enlargement of the main and right pulmonary artery, and irregular narrowing of the right mainstem and upper lobe bronchi [Figure 2].
case_images: A 71-year-old man with a history of chronic obstructive pulmonary disease, pulmonary hypertension, and prior pulmonary tuberculosis infection presenting with progressive dyspnea, diagnosed with tuberculosis-associated fibrosing mediastinitis. Noncontrast enhanced computed tomography chest, soft tissue window, from 3-years prior. (a-d) Demonstrating ill-defined, infiltrative bilateral hilar soft tissue densities with calcifications (white arrows); enlargement of the main and right pulmonary artery (black arrow heads); and irregular narrowing of the right mainstem and upper lobe bronchi (black arrow).
case_images: JCIS-6-32-g004.jpg
case_images: PMC5007905_01_JCIS-6-32-g004.jpg
case_images: F3
case_images: Of note, the patient had undergone a non contrast-enhanced thoracic CT three years prior, which documented relative stability all the abnormal findings, including the bronchial narrowing and pulmonary artery dilation [Figure 3].