During the last decade, various authors have enumerated the “unusual” manifestations of pulmonary tuberculosis in the adult population [1-6]. These unusual manifestations usually have been implicated in the frequent failure of both radiologist and clinician to recognize that tuberculosis could be the cause of an abnormal chest radiograph in patients who are subsequently, and rather surprisingly, proven to have tuberculosis. As Choyke et al. [7] indicate, these so-called unusual manifestations of tuberculosis in adults are actually typical of the disease: What is unusual is that they often represent primary disease occurring in the adult population. Although physicians are more familiar with the radiographic manifestations of postprimary tuberculosis than with.