American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
American Journal of Medical Case Reports. 2014, 2(9), 167-169
DOI: 10.12691/ajmcr-2-9-1
Open AccessCase Report

‘Tennis Racket cavity’ on Chest Radiograph: Strong Predictor of Active Pulmonary Tuberculosis! – A Case Report

Patil Shital1, and Laxman Kasture2

1Department of Pulmonary Medicine, MIMSR Medical College, Latur India

2Department of Radiology, MIMSR Medical College, Latur India

Pub. Date: September 02, 2014

Cite this paper:
Patil Shital and Laxman Kasture. ‘Tennis Racket cavity’ on Chest Radiograph: Strong Predictor of Active Pulmonary Tuberculosis! – A Case Report. American Journal of Medical Case Reports. 2014; 2(9):167-169. doi: 10.12691/ajmcr-2-9-1


Tuberculosis is the leading cause of cavitation on chest radiograph, more than 90% cases with cavitary lung diseases are because of tuberculosis especially in high burden countries like India. Overall 8-24% of pulmonary tuberculosis cases are having cavitation on chest radiograph. Although no radiological feature is the predictor of tuberculosis, some morphological characteristic features of lung cavitation on chest radiograph will help in predicting active form of pulmonary TB from cured form of disease. In this case report we described a 26 year male, with symptoms of weight loss, fever and cough of 2 months duration, found to have ‘Tennis Racket cavity’ on chest radiograph. We investigated further and found to have sputum smear positive pulmonary TB. We documented therapeutic response to the routine anti tuberculosis (ATT) drugs, and shown complete clinical and radiological recovery. Careful chest radiograph evaluation and interpretation is must in all the cases with respiratory symptoms, high index of suspicion with adequate chest radiology training is key in high burden setting especially in South East Asian region to cut the transmission of disease.

tennis racket cavity pulmonary tuberculosis chest radiograph sputum smear for AFB

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Hirsh AE, Tsolaki AG, DeRiemer K, Feldman MW, Small PM. Stable association between strains of Mycobacterium tuberculosis and their human host populations. Proc Natl Acad Sci USA. 2004; 101: 4871-6.
[2]  Geneva: WHO; 2010. World Health Organization. Fact Sheet No.104: Tuberculosis. Available from:
[3]  Fishman AP, Elias JA, Fishman JA, Grippi MA, Senior RM, Pack AI, eds. Fishman's Pulmonary Diseases and Disorders, 4th ed. New York: McGraw-Hill, 2008, p 2469-2470.
[4]  Toman’s tuberculosis case detection, treatment, and monitoring: questions and answers edited by T. Frieden. -2nd ed. World Health Organization Geneva 2004, p 51-56.
[5]  American Thoracic Society. Diagnostic standards and classification of tuberculosis in adults and children. American Journal of Respiratory and Critical Care Medicine, 2000, 161: 1376-1395.
[6]  Philip Eng and Foong-Koon Cheah. Interpreting chest x-Rays: Illustrated With 100 Cases. Cambridge University Press, first edition 2005, p 15-16.
[7]  Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL and Remy J. Imaging of diseases of the chest. 5th ed. 2008; p 232-233.
[8]  George Simon. Principles of chest x ray diagnosis: Butterworth- Heinemann, fourth edition, 1978, p 134-135.