January 1984

Radiological Case of the Month

Author Affiliations

Contributed from the Departments of Pediatrics (Drs Bui and Keller), Radiology (Dr Lachman), Pathology (Dr Jayich), and Surgery (Drs Nelson and Harley), UCLA School of Medicine, Harbor—UCLA Medical Center, Torrance, Calif.

Am J Dis Child. 1984;138(1):91-93. doi:10.1001/archpedi.1984.02140390079024

An 8-year-old girl, admitted to the Harbo—UCLA Medical Center, Torrance, Calif, was noted to have a positive tuberculin skin test on a routine examination at a public health center. A chest roentgenogram showed an extensive left upper lobe calcification (Fig 1, left and right). The patient had been and remained asymptomatic; she denied fever, cough, chills, night sweats, weight loss, or lack of appetite. Her parents were in good health, but her mother, who had a tuberculin-negative test five years previously, now had a tuberculin-positive test, as did her father. The family had been in Mexico for one month 1½ years earlier.

The patient appeared to be well developed and well nourished; her physical examination did not show any more abnormalities. Complete blood cell and differential cell counts, ESR, electrolyte determinations, and liver function test results were all within normal limits. A tomogram of the chest (Fig 2, left and