The chest roentgenograms of 180 children with tuberculous meningitis were reviewed. All x-ray films of the chest were made early in the course of the disease or before the diagnosis had been established. Forty-three percent of the children had normal chest roentgenograms, 23% had signs of disseminated miliary tuberculosis and 10% had calcifying primary intrathoracic tuberculosis. Normal chest roentgenograms should not be used to exclude tuberculous meningitis in the differential diagnosis.
Zarabi M, Sane S, Girdany BR. The Chest Roentgenogram in the Early Diagnosis of Tuberculous Meningitis in Children. Am J Dis Child. 1971;121(5):389-392. doi:10.1001/archpedi.1971.02100160059005