A chest radiograph from a baby girl with a history of difficulty in breathing showed a hyperinflated right lung with a shift of the mediastinal contents into the left hemithorax (A). A chest CT scan showed diffuse mediastinal and right hilar adenopathy (B). The case emphasizes the difficulty in diagnosing pulmonary tuberculosis in an infant with a nonspecific presentation and no travel or contact history.
Image courtesy of Mansi B. Mehta, MD, Christopher Young, MD, and Sharda Udassi, MD.
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