A 25 year old man presented with fever and cough, expectoration and breathlessness of 2 months duration. Contrast enhanced computed tomography the chest showed bilateral upper lobe fibrotic lesions and mediastinum had enlarged necrotic nodes with peripheral rim enhancement. Which one of the following is the most probable diagnosis: (AIIMS May 2012)
Post Primary disease/Adult type/ reactivation/ Secondary –
1). Apical and post segment of the upper lobe
2). Superior segment of the lower lobes
3). Caseous material contains 1 x 104 bacilli /gm
4). Cavity contain 1 x 109 bacilli
5. The classical "galloping consumption" of the past, others undergo a process of spontaneous remission or proceed along a chronic, progressively debilitating course ("consumption").