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Multilocular thymic tuberculosis

¹ Department of Radiology and Imaging, GKNM Hospital and Research Centre, PN Palayam, Coimbatore 641037, ² Department of CT and MRI, Jaslok Hospital and Research Centre, 15, Dr G Deshmukh Marg, Mumbai 400026, India

Correspondence: Dr Karthik Ganesan, Department of Radiology, University of California San Diego, 200 West Arbor Drive, San Diego, CA 92103–8226, USA. E-mail: drkarthikg{at}hotmail.com

Tuberculosis is a widely prevalent disease in India. However, primary thymic involvement is an extremely uncommon presentation of this entity; a review of the literature revealed only seven documented cases of primary thymic tuberculosis. With the increasing prevalence of human immunodeficiency virus (HIV) in India, however, the occurrence of tuberculosis in previously uncommon anatomical locations may become more frequent. We report the unusual clinical, radiological and pathological findings in a HIV seronegative 30-year-old Indian man with primary multilocular thymic tuberculosis.