Fig. 5
From: Active pulmonary tuberculosis: something old, something new, something borrowed, something blue
A 44-year-old female presented with symptoms of lethargy, loss of appetite, vomiting and fevers. She had been diagnosed with HIV two months prior but was not compliant with antiretroviral therapy. Her CD4 count at the time of presentation was 110 cells/mm3. CT demonstrates miliary nodules (lung window, coronal plane, maximum intensity projection—a) and an enlarged right paratracheal node with central low attenuation (mediastinal window, coronal plane—b, arrow) consistent with necrosis