Different Radiological Manifestations of pulmonary Tuberculosis

Amir Suleman, Haidar Zaman, Syed Hassan Mustafa, Sabir Khan Khattak, Zafar Iqbal, Muhammad Wasim Sajjad

Abstract


Background: Tuberculosis is a major public health problem affecting around 9
million people and causing 2 million deaths each year. A number of investigations are carried out to diagnose pulmonary tuberculosis; these include
sputum smear for acid fast bacillus, Gene Xpert and the bronchoscopy.
However, due to low sensitivity and/or cost effectiveness, chest X-rays are still
commonly used for diagnostic purposes. This study was performed to know
the different radiographic findings in diagnosed cases of Pulmonary
Tuberculosis.

Methodology: It was a cross sectional study performed on 144 diagnosed
cases of pulmonary tuberculosis in the pulmonology unit of Ayub Teaching
Hospital Abbottabad, from 1st September 2017 to 31st August 2018. Chest Xray was performed on all patients included in the study and their findings were
recorded in a pro forma.

Results: The study population comprised of 144 TB patients of either sex who
had been newly diagnosed with TB. The youngest study participant was 18
years old and the age of the oldest study participant was 92 years with mean ±
SD age was 47.08±18.37. There were 72 males (50%) and 72 females (50%).
Sputum smear was positive in 80 (55.6%) while negative in 64(44.4%). Pleural
effusion was found in 44.4% of patients, while apical consolidation and
cavitation found in 43.1% and 25% respectively.

Conclusion: Our study concluded that pleural effusion and consolidation
were the most common radiographic findings followed by hilar
lymphadenopathy and cavitation.


Keywords


Tuberculosis; Chest X-Ray; Radiographic findings; Pleural effusion; Consolidation

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