Skip to main content
Insights into Imaging
Fig. 10 | Insights into Imaging

Fig. 10

From: Active pulmonary tuberculosis: something old, something new, something borrowed, something blue

Fig. 10

A 74-year-old male with HIV and a CD4 count of 10 cells/mm3 was started on antiretroviral therapy. He developed immune reconstitution inflammatory syndrome with worsening imaging findings in keeping with paradoxical reaction. Compared to the CT from three months prior (mediastinal window, axial plane—a), there are enlarged centrally necrotic precarinal lymph nodes (mediastinal window, axial plane—b, arrow) and necrotic nodules in the right upper lobe (arrowheads). These were avid on PET-CT (c)

Back to article page