3.9.7 Tuberculoma


A tuberculoma is a stable mass like opacity which may be seen either in primary or post-primary tuberculosis. For lung tuberculomas of tubercular origin oval, ovoid form is characteristic, less often – irregular.

A structure of tuberculoma is no homogenic usually, that is connected to inclusions of calcium. For tuberculema localization in II, I and VI segments are typical, more often in lateral position.

The focuses could be revealed around tuberculoma, insignificant fibrosis, pleural deposits. Frequently tuberculoma is connected with visceral pleura by gentle bars. The destruction in tuberculoma is looked like circus on periphery, and also in the center.

For x-ray diagnosis of tuberculoma tomogram investigation is obligatory, which reveals many details assisting to put the correct diagnosis.

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