Will CT scan of pulmonary tuberculosis have high-density opacities?

Hyperdense opacities may occur during chest CT scan in patients with pulmonary tuberculosis. However, the presence of hyperdensity depends on the severity of the condition.

1. There will be circumstances

1. Primary tuberculosis: when performing chest X-ray or chest CT examination, it can be found that there are enlarged lymph nodes at the hilum of the lungs, accompanied by circular shadows with blurred edges, and liquefied necrotic areas can be seen in the center;

2. Blood-borne disseminated pulmonary tuberculosis: when the body's immunity is low, Mycobacterium tuberculosis reaches all organs of the body through blood circulation, which can be manifested as pleural effusion and tracheobronchial lymphadenitis.

3. Infiltrative pulmonary tuberculosis: if it is infiltrative pulmonary tuberculosis, the scope of the lesion is relatively limited, mainly involving the surrounding tissues of the lungs, such as pleura, pericardium, etc., and it can be found that the local cloud-like thin shadow can be found during chest CT examination, and the edge is blurred and ground-glass changes, and it can also be accompanied by pleural hypertrophy.

Second, there will be no situation

For some patients with pulmonary tuberculosis, because the disease is mild and there is no significant damage to the lung parenchyma, there is generally no hyperdensity.

It is recommended that patients with pulmonary tuberculosis go to the respiratory medicine department of the hospital for treatment in time, improve sputum smear, acid staining examination, tuberculin test and other related examinations, and use isoniazid tablets, rifampicin capsules and other drugs according to the doctor's instructions after a clear diagnosis. In daily life, you should pay attention to rest and avoid overwork.