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 Indian J Med Microbiol  
 

Figure 14 (A-C): 24-year old female presented with non-specific fever and breathlessness. (A) Chest X-ray (CXR) showed presence of right paratracheal and right hilar lymphadenopathy (black arrows). (B) Coned down axial contrast-enhanced CT (CECT) chest (mediastinal window) image showed discrete homogeneous pretracheal, right paratracheal, and prevascular lymphadenopathy. On lung window, there were perilymphatic nodules (not shown)-radiologically consistent with sarcoidosis. Patient was started on steroids. Three months later, she deteriorated with onset of productive cough and increasing breathlessness. (C) CXR revealed new-onset consolidation in right upper lobe with air bronchogram and cavitation (solid arrow) and increase in mediastinal and hilar lymphadenopathy (broken arrows).Sputumacid fast bacilli came out to be positive. Subsequently, anti-tubercular therapy was started following which she improved (not shown)

Figure 14 (A-C): 24-year old female presented with non-specific fever and breathlessness. (A) Chest X-ray (CXR) showed presence of right paratracheal and right hilar lymphadenopathy (black arrows). (B) Coned down axial contrast-enhanced CT (CECT) chest (mediastinal window) image showed discrete homogeneous pretracheal, right paratracheal, and prevascular lymphadenopathy. On lung window, there were perilymphatic nodules (not shown)-radiologically consistent with sarcoidosis. Patient was started on steroids. Three months later, she deteriorated with onset of productive cough and increasing breathlessness. (C) CXR revealed new-onset consolidation in right upper lobe with air bronchogram and cavitation (solid arrow) and increase in mediastinal and hilar lymphadenopathy (broken arrows).Sputum<i>acid fast bacilli</i> came out to be positive. Subsequently, anti-tubercular therapy was started following which she improved (not shown)