ABSTRACT

Background: Pulmonary tuberculosis (PTB) is a bacterial infection exhibiting significant rates of illness and death, causing 2-3 million annual fatalities all over the world. Developing countries are mostly affected, and the disease is associated with different chest radiographic patterns of presentations, which include pulmonary fibrosis, pleural effusion, lung consolidation, cavitation, hilar/mediastinal lymphadenopathy and disseminated miliary disease.
Objective: The study was conducted to evaluate the radiographic presentation/pattern of PTB in adult patients with pulmonary tuberculosis.
Methodology: This prospective study was conducted over a six-month period at the Radiology Department of the University of Abuja Teaching Hospital (UATH) Gwagwalada-Abuja, Nigeria. One hundred and thirty-two (132) adults who were bacteriologically proven to have pulmonary tuberculosis were recruited into the study and their digitally processed chest radiographs were reviewed directly on a computer console. Abnormal radiographic pulmonary features on the chest radiographs were identified and recorded on a data sheet.
The data were analysed using SPSS software version 25.0. Armonk and results presented on tables and bar charts. The significant findings were highlighted, and P-values ≤ 0.05 were considered statistically significant.
Results: Various radiographic features/pattern of PTB were demonstrated, which include: consolidations, pleural effusion, cavity, lymphadenopathy, milliary TB, lung collapse and lung destruction. Consolidations was the largest, constituting 106 (56.4%), while lymphadenopathy and lung destruction each accounted for 2 cases (1.1%).
Conclusion: The radiographic pattern of PTB was evaluated and shows that lung consolidation is the most common pattern, with lung destruction and hilar lymphadenopathy being the least common. Thus on reporting chest radiograph those findings should be considered in PTB diagnosis.

KEYWORDS

Pulmonary tuberculosis, chest radiograph, radiographic pattern

REFERENCES

1) WHO global tuberculosis report. World health organization. 2022; 1
2) Ford ES, Mannino DM, Redd SC, Mokdad AH, Mott JA. Body mass index and asthma incidence among USA adults. Eur Respir J. 2004;24(5):740–4.
3) Ibrahim M, Chom N, Hamidu A, Atalabi M, Grace I, Tabari AM. Radiographic evaluation of lateral chest wall soft-tissue thickness in adult pulmonary tuberculosis patients in Zaria, Nigeria. Sub-Saharan African J Med. 2016;3(1):15.
4) Van Crevel R, Karyadi E, Netea MG, Verhoef H, Nelwan RHH, West CE, et al. Decreased Plasma Leptin Concentrations in Tuberculosis Patients Are Associated with Wasting and Inflammation. J Clin Endocrinol Metab. 2002 Feb 1;87(2):758–63.
5) Obiora WCO, Ajobiewe HF, Ajobiewe JO, Ogundeji AA, Umeji LC. Prevalence of Pulmonary Tuberculosis in Unisex Adults at the National Hospital, Abuja, Nigeria. Sch J Appl Med Sci. 2020 Jun 30;8(6):1597–604.
6) Anna V, Gidado M. Post-2015 Development Agenda: Nigeria Perspectives – Tuberculosis. Copenhagan Concensus Cent. 2015;1.
7) Ogunyemi A, Egemba T, Onigbogi O. Health-seeking Behaviour and Self-rated Health of Adult Men in an Urban Local Government Area in Lagos, Nigeria. Ann Heal Res. 2021;7(2):153–164.
8) Sunday O. Decision-making Power and Healthcare Seeking Behaviour Among Women in Northern States of Nigeria. ResearchGate. 2022;10–1.
9) Ito I, Ishida T, Togashi K, Niimi A, Koyama H, Ishimori T, et al. Differentiation of bacterial and non-bacterial community-acquired pneumonia by thin section computed tomography. European Journal of Radiology. 2009; 72:388-395.
10) Rizzi EB, Schinina V, Cristofaro M, Goletti D, Palmier F, Bevilacqua N, et al. Detection of pulmonary tuberculosis: Comparing MR imaging with HRCT. BMC Infectious Diseases. 2011; 11:243 -49.
11) Heussel CP, Kawzor HU, Heussel G, Fisher B, Mildenberger P, Thelen M. Early detection of pneumonia in febrile neutropenic patients: Use of thin section CT. American Journal of Roentgenology. 1997; 169:1347-575
12) Madhukar P, Mark P N, Catherine C. Tuberculosis diagnostics: State of the art and future directions. Tuberc Tuber Bacillus Second Ed. 2016;(69):363–78.
13) Bahalla AS, Goyal A, Guleria R, Kumari A. Chest tuberculosis: Radiological Review and Imaging recommendations. The Indian Journal of Radiology and Imaging. 2015; 25(3):213-225.
14) Balowa MB. Chest radiographic patterns among HIV positive and HIV negative adults with pulmonary tuberculosis at Mwanayamala Hospital TB clinic. A dissertation: Muhimbili University, September, 2012.
15) Akhigbe RO, Ugwu AC, Ogolodom MP, Maduka BM, Jayeoba BI. Abnormasl chest radiographic patterns in patients with pulmonary tuberculosis in lagos state, Nigeria: single centre study. Int. J Med. Health research. 2019; 5(1): 36 – 40.
16) Ahidjo A, Yusuph H, Tahir A. Radiographic Features of Pulmonary Tuberculosis among HIV Patients In Maiduguri. Nigeria Annals of African Medicine. 2005; 4(1):7-9.

Cite this article

Yaro IA, Odekina DI, Aiyekomogbon JO, & AA AKOR. (2026). Chest Radiographic Pattern of Pulmonary Tuberculosis. INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH, 5(7), 624-628. https://doi.org/10.58806/ijhmr.2026.v5i7n07