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Pic of The Day

Pic of The Day
This is a young patient who has tuberculosis and suspected mediastinal adenopathy.

The CT scan shows infectious bronchiolitis in the left upper lobe with a left pleural effusion.
What looks like mediastinal nodes are actually loculated collections in the antero-superior and posterior pericardial recesses and the transverse sinus of the pericardium likely due to rupture of one of the nodes.
It is easy to mistake these lesions for adenopathy, if not careful.
#radiologypicoftheday from Instagram: