Nodular pleural thickening in a young woman
- Infectious diseases
- Picture quiz
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- Radiology (diagnostics)
Dr Hadda and colleagues have presented an interesting case highlighting a less common presentation of tuberculosis. However, I am surprised that their most likely diagnosis was pleural malignancy.
Malignancy might have been likely if one only had the radiological picture but I have not seen many 17-year olds with pleural malignancy, particularly those presenting with fever and weight loss - I am sure others will agree. The only malignancy that might give this picture is a lymphoma.
Diseases don't read books, I am afraid, so they might not know that tuberculosis is not listed as a cause in Fishman's pulmonary diseases and disorders.
Competing interests: None declared
Bristol Royal Infirmary, Upper Maudlin Street, Bristol BS2 8HW
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