Multiloculated thoracoabdominal tuberculosis: A radiological presentation of disseminated tuberculosis

Tuberculosis is more frequently found among high-risk populations in the United States. It has a challenging diagnosis since it can present with diverse organ involvement that may delay the diagnosis. This is especially true regarding hepatic tuberculosis, with prevalence varying in each study but highly suggestive of underdiagnosis. An 18-year-old male with high-risk exposure to multidrug-resistant tuberculosis presented with fever, night sweats, weight loss, and cough. Imaging revealed a right lung cavitary mass with bilateral pulmonary nodules, right pleural nodular thickening traversing diaphragm extending to the liver with subcapsular hepatic lobulated hypodensities. MRI showed spinal involvement consistent with Pott's disease. It is important to consider hepatic tuberculosis in differential diagnoses for a hepatic lesion, allowing early detection and treatment to optimize patient outcomes.