Radiological manifestations of thoracic tuberculosis, a study in Damascus Hospital

Abstract

Abstract Objective: To review the radiological manifestations of thoracic tuberculosis. Study design: A cross-sectional study in the period between January 1\1\2023 and January 1\1\2024. Setting: Damascus (Al-Mujtahid) Hospital, Damascus, Syria Patients: Eight hundred and fifty-nine patients had pulmonary tuberculosis. Results: The ratio of males/females was approximately 2/1, the percentage of chronic cough producing phlegm was 87%, the percentage of positive tuberculin reaction test was 95%, the percentage of upper lobes being infected with tuberculosis was 86%, and the percentage of presence of angulation mark on CT and chest images (67%, 54%). ) respectively, and the sign of pleural effusion (85%, 60%) respectively, and pericardial effusion (15%, 35 respectively), the density of pleural fluid more than 20 units is the highest 65%, the percentage of presence of Conn's complex on the tomography is 95%, while The chest image was 77%, and the second stage cases represented 34%. The percentage of upper lobe involvement with primary tuberculosis was 85%. The percentage of nodular hyperplasia on the chest image was 77%, while on the axial tomography it was 98%. Nodules measuring 15-20 mm are the most common, and the percentage of nodules Hypodense phlegmon is the highest (75%), the percentage of nodules showing peripheral enhancement is the highest (87%), the percentage of phlegmatic nodules in the right umbilicus is the highest (98%), most of the phlegmatic nodules were distributed in the umbilicus at a rate of 66%, and the percentage of lobular condensation is The highest percentage is (55%), the percentage of calcification is the highest (70%), the percentage of the presence of a single cave is the highest (75%), and the percentage of the presence of 1-3 mm smoking nodules is the highest (97%). Conclusion: Although significant improvements have been made in the diagnosis and treatment of TB over the past three decades, TB remains one of the deadliest infectious diseases worldwide. TB is still present in all regions of the world, and has a greater impact in developing countries. Review This research examines the most common imaging manifestations of primary and post-primary tuberculosis, their complications, and the crucial role of imaging in diagnosing and following up infected patients.