Brief Answer: History suggestive of tuberculosis Detailed Answer: Hello, Thank you for posting your query on XXXXXXX A positive Mantoux test is suggestive of tuberculosis. The X-ray showing prominent broncho-vascular markings is a normal finding. Presence of peri-hilar opacities can be due to calcified lymph nodes. This is a common finding on X-ray chest and it indicates healed sub-clinical tubercular infection. In developing countries like India, it is not uncommon to find calcified lymph nodes on X-ray chest due to healed sub-clinical tubercular infection. A raised CRP (C-reactive protein) on blood tests suggests a chronic infection. Tuberculosis is one of the chronic disease causing raised CRP. Presence of enlarged lymph nodes on abdominal ultrasound again suggests tuberculosis. There is strong suspicion of tuberculosis. You need to consult your physician for guided aspiration of the abdominal lymph nodes (though very difficult) or other relevant investigations to confirm or rule out tuberculosis. If you have more queries, I will be glad to answer. Dr Shailja P Wahal

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