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Xpert MTB\/RIF Ultra (Ultra) is a World Health Organization-endorsed diagnostic test, but performance data for TBL, including on noninvasive specimens, are limited. Fine-needle aspiration biopsy specimens (FNABs) from outpatients (\u226518\u2009years) with presumptive TBL (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009135) underwent (i) routine Xpert MTB\/RIF testing (later with Ultra once programmatically available), (ii) an MGIT 960 culture (if Xpert or Ultra negative or rifampin resistant), and (iii) study Ultra testing. 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