{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:51:05Z","timestamp":1766044265024,"version":"3.48.0"},"reference-count":0,"publisher":"Jaypee Brothers Medical Publishing","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPI"],"published-print":{"date-parts":[[2025,11,10]]},"abstract":"<jats:p>Cystic lung disease is a rare and underrecognized manifestation of pulmonary tuberculosis (TB), \noften masquerading as other diffuse cystic lung disorders and complicating timely diagnosis. We \npresent the unusual case of a 25-year-old woman who developed progressive dyspnea and pleuritic \nchest pain shortly after initiating antituberculous therapy. Initial imaging revealed classical miliary \nnodules without cystic changes. However, within a month of treatment, follow-up high-resolution \nCT unveiled an unexpected transformation of numerous thin-walled cysts clustered in the upper \nlobes, accompanied by ground-glass opacities, septal thickening, and a tree-in-bud pattern \nsuggestive of active endobronchial spread. This radiological evolution, occurring posttreatment \ninitiation, points to a dynamic pathophysiological process likely involving immune-mediated \nairway obstruction, necrosis, and structural remodeling of the parenchyma. This case reveals \na rare form of pulmonary TB that mimics other cystic lung diseases. In TB-endemic areas, early \nrecognition of cystic transformation, especially with recurrent pneumothorax or atypical imaging, \nis vital. Though uncommon, it highlights TB\u2019s chameleon-like nature and the value of serial imaging \nin guiding timely, effective management. Radiologists and clinicians should remain vigilant for \nsuch rare yet reversible complications in TB-endemic settings.<\/jats:p>","DOI":"10.59556\/japi.73.1233","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:48:52Z","timestamp":1766044132000},"page":"29-32","source":"Crossref","is-referenced-by-count":0,"title":["Radiologic Deception: A Case Report of Tuberculosis with  Nodular Onset and Cystic Conclusion"],"prefix":"10.59556","volume":"73","author":[{"given":"Chandrika","family":"Sachar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankita","family":"Garg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev","family":"Jindal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2914","published-online":{"date-parts":[[2025,11,10]]},"container-title":["Journal of the Association of Physicians of India"],"original-title":[],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T07:48:54Z","timestamp":1766044134000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.japi.org\/article\/japi-73-11-s1-29"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":0,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,10]]},"published-print":{"date-parts":[[2025,11,10]]}},"URL":"https:\/\/doi.org\/10.59556\/japi.73.1233","relation":{},"ISSN":["0004-5772"],"issn-type":[{"value":"0004-5772","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,10]]}}}