Intrathoracic tuberculous lymphadenopathy in children: a guide to chest radiography

A. George, S. Andronikou, T. Pillay, P. Goussard, H.J. Zar

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Making the diagnosis of pulmonary tuberculosis in children can be difficult because microbiological confirmation is not often achieved. Diagnosis is therefore often based on clinical features in combination with chest radiograph findings. Chest radiographs can demonstrate lymphadenopathy of the hilar and para-tracheal regions on the anteroposterior view, and subcarinal lymphadenopathy on the lateral view. However poor interobserver agreement has been reported for radiologist and clinician assessment of lymphadenopathy. This might reflect the lack of standardised imaging criteria for diagnosis as well as radiologists’ objectives for achieving sensitivity rather than specificity. In this paper the authors provide a pictorial aid of chest radiographs in children with culture-confirmed tuberculosis to help clinicians identify lymph node enlargement in primary pulmonary tuberculosis. This collection of images comprises chest radiographs accompanied by schematics and either CT or MRI scan confirmation of pathological lymph node enlargement at the positions commonly affected in tuberculosis. © 2017, The Author(s).
Original languageEnglish
Pages (from-to)1277-1282
Number of pages6
JournalPediatric Radiology
Issue number10
Early online date26 Aug 2017
Publication statusPublished - 2017

Bibliographical note

Cited By :1

Export Date: 13 September 2017


Correspondence Address: Andronikou, S.; Department of Paediatric Radiology, Bristol Royal Hospital for Children and the University of Bristol, Paul O’Gorman Building, Upper Maudlin St., United Kingdom; email:

Funding details: University of Bristol

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  • Chest radiography
  • Children
  • Computed tomography
  • Lymph nodes
  • Magnetic resonance imaging
  • Pulmonary tuberculosis
  • Standardisation

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