TY - JOUR T1 - Radiology corner JF - Breathe JO - Breathe SP - 63 LP - 66 DO - 10.1183/20734735.141118 VL - 14 IS - 1 A2 - , Y1 - 2018/03/01 UR - http://breathe.ersjournals.com/content/14/1/63.abstract N2 - Case 1A 36-year-old male presents with fever, malaise and productive cough. What is the main abnormality? a) Mediastinal abnormalityb) Hilar abnormalityc) Bony abnormalityd) Lung parenchymal abnormalitye) Normal appearances Case 2A 48-year-old female presents with fatigue and generalised weakness. Haematological investigations revealed a pancytopenia. What is the main abnormality? a) Lung parenchymal and bony abnormalityb) Mediastinal and bony abnormalityc) Pleural and bony abnormalityd) Bony abnormalitye) Lung parenchymal and mediastinal abnormality Case 1d) Lung parenchymal abnormality. There is increased opacification at both apices (arrows) with probable cavitation at the right apex (blue arrow). This patient was subsequently diagnosed with tuberculosis (TB).In primary TB, the initial focus of infection can be located anywhere within the lung and TB can present with a wide variety of different appearances. Cavitation is relatively uncommon in primary TB occurring in 10–30% of cases. There may also be evidence of mediastinal … ER -