Disseminated tuberculosis presented with mediastinal lymphadenopathy, nodular thickening of pleura and liver involvement in a diabetic patient

Tuberculosis can involve many organs and have a broad spectrum of image presentation. It may resemble malignant diseases and thus confuse the judgment of the clinician. We report a 60-year-old diabetic woman suffered from chronic cough for 2 years and whose computed tomography scan revealed multiple pleural nodules with mediastinal lymphadenopathy and multiple liver masses. We approached this case as malignant disease initially but found it to be a systemic tuberculosis infection after a series of examinations. Tuberculosis may have radiological presentation like malignant disease. Physicians should consider tuberculosis as a possibility for those patients with underlying diseases, which can potentiate tuberculosis infection.