Multiple pulmonary artery aneurysms in miliary tuberculosis

Abstract

Pulmonary artery aneurysms are rare life threatening complications of tuberculosis (TB). Clinical symptoms range from being silent to fatal hemoptysis. Computed tomography angiography is diagnostic and shows the vascular nature of the lesions and their origin from the pulmonary arteries. The typically described Rasmussen’s aneurysm arises in cavitary TB due to inflammation induced damage to the tunica of the pulmonary artery. However, aneurysms may also rarely occur in non-cavitary TB. In this report, we describe a case of multiple aneurysms of the pulmonary artery in a case of non-cavitary miliary TB.