ROLE OF RADIOGRAPHY AND HIGH RESOLUTION COMPUTED TOMOGRAPHY IN MULTIDRUG RESISTANT PULMONARY TUBERCULOSIS  A DESCRIPTIVE STUDY.

G.Upendra Bhargava Mohan; B.Suresh; D.Harinath; O.Joji Reddy; Abdul Gafoor.J; S.Moksheswarudu; M.Padmalatha

Volume : V, Issue : VIII, August - 2015

ROLE OF RADIOGRAPHY AND HIGH RESOLUTION COMPUTED TOMOGRAPHY IN MULTIDRUG RESISTANT PULMONARY TUBERCULOSIS A DESCRIPTIVE STUDY.

G. Upendra Bhargava Mohan, B. Suresh, D. Harinath, O. Joji Reddy, Abdul Gafoor. J, S. Moksheswarudu, M. Padmalatha

Abstract :

Introduction: There is no significant difference in clinical features of MDR–TB and Drug sensitive TB patients. Hence determination of characteristic radiological findings in MDR–TB patients might be of help in early detection and appropriate management of this disease entity. Objectives:To study the pattern of Radiographic and HRCT findings in MDR–TB patients andto establish the role of HRCT in predicting the possibility of MDR–TB. Materials and methods:34 culture positive MDR–TB patients underwent chest Radiograph and HRCT during January to June 2015. Detailed image analysis was done to describe parenchymal, pleural and mediastinal lesions. Results: Most common HRCT findings in order of prevalence were fiotic/parenchymal bands seen in 27 patients followed by onchiectasis, parenchymal nodules, cavities, collapse, calcified lymph nodes, tree–in–bud appearance, pleural thickening and consolidation in 19, 19, 14, 9, 9, 8, 7& 5 patients respectively. Conclusion: Multiple thick walled cavities distributed in upper lobes with simultaneous chronic changes like fiodestruction, volume loss, calcified parenchymal granulomas and diffuse pleural thickening with calcifications strongly suggest MDR–T.B.