Subtle Sonographic Signs of Disseminated Tuberculosis: A Case Report and Narrative Literature Review.

ABSTRACT: Miliary tuberculosis is a form of disseminated tuberculosis that can be difficult to detect when the classic pattern is absent on chest radiograph and advanced cross-sectional imaging is not readily available. While the focused assessment with sonography for HIV-associated tuberculosis (FASH) protocol for extrapulmonary tuberculosis emphasizes easy-to-teach findings, experienced sonographers may detect additional, subtler signs that can aid in diagnosis. We report a case of a 20-year-old man with miliary tuberculosis diagnosed on computed tomography of the chest. We describe subtle sonographic signs of disseminated tuberculosis including subpleural irregularities and comet-tail artifacts, a bright liver pattern, peritoneal nodules, and a nonspecific sponge spleen pattern. We then discuss i

SUBMITTER: Hodson DZ 

PROVIDER: S-EPMC11376169 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature