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©2013 UpToDate ® Print Email Classic adult TB PA view case 2 A 40 year-old automobile mechanic from the Dominican Republic, in the US 8 years, presented to the urgent care clinic with 4 months of productive cough, fevers, progressive hoarseness, and a 40 pound weight loss. A chest radiograph (PA view) demonstrates diffuse parenchymal disease with multiple cavities and bulla formation on the left. Sputum smear was positive for AFB. Courtesy of John Bernardo, MD.