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The main chest X-ray findings that can suggest inactive TB are: [2] 1. Discrete fibrotic scar or linear opacity—Discrete linear or reticular densities within the lung. The edges of these densities should be distinct and there should be no suggestion of airspace opacification or haziness between or surrounding these densities.
Chest x-ray of Ghon's complex of active tuberculosis Ghon's complex is a lesion seen in the lung that is caused by tuberculosis . [ 1 ] [ 2 ] The lesions consist of a Ghon focus along with pulmonary lymphadenopathy within a nearby pulmonary lymph node .
Chest X-ray of a Ghon's focus. A Ghon focus is a primary lesion usually subpleural, often in the mid to lower zones, caused by Mycobacterium bacilli (tuberculosis) developed in the lung of a nonimmune host (usually a child). [1] It is named for Anton Ghon (1866–1936), an Austrian pathologist. [citation needed]
An often used formal radiological definition is the following: a single lesion in the lung completely surrounded by functional lung tissue with a diameter less than 3 cm and without associated pneumonia, atelectasis (lung collapse) or lymphadenopathies (swollen lymph nodes). [13] [10]
Bilateral hilar lymphadenopathy is a bilateral enlargement of the lymph nodes of pulmonary hila. It is a radiographic term for the enlargement of mediastinal lymph nodes and is most commonly identified by a chest x-ray.
Sarcoidosis is a disease of unknown cause characterized by non-necrotizing ("non-caseating") granulomas in multiple organs and body sites, [12] most commonly the lungs and lymph nodes within the chest cavity. Other common sites of involvement include the liver, spleen, skin, and eyes.
Mycobacterium tuberculosis is the most common cause of both pulmonary tuberculosis and tuberculous lymphadenitis. [1] [6] Historically, transmission of Mycobacterium bovis from dairy consumption was another frequent cause of tuberculous lymphadenitis, but incidence has drastically decreased in developed countries since the advent of pasteurization and other efforts to prevent bovine ...
Chest X-ray findings are normal in 40–70% of cases. [8] Chronic histoplasmosis cases can resemble tuberculosis; [9] [10] disseminated histoplasmosis affects multiple organ systems and is fatal unless treated. [11] While histoplasmosis is the most common cause of mediastinitis, this remains a relatively rare disease.