Fig. 9.

Splenic tuberculosis: 49-year-old female with known poorly controlled HIV infection presented with fever, weight loss, and persistent cough. Chest CT examination (not shown) and laboratory tests, including sputum specimen, confirmed pulmonary tuberculosis. Axial plane postcontrast abdominal CT image shows the miliary pattern, innumerable sub-centimeter hypodense lesions within the splenic parenchyma (arrows). Also noted were several similar lesions within the liver (arrowheads). Percutaneous US-guided aspiration from the splenic lesions confirmed tuberculosis