A 40-year-old prisoner died of tuberculosis in the corrective labor camp. Autopsy of the body revealed deformation and diminishing of both lung apices; in the both upper lobes there are multiple cavities with dense walls 2-3 mm thick; in the lower lung lobes there are disseminated foci of caseous necrosis varying from 5 mm to 2 cm in diameter. Diagnose the type of tuberculosis:

Answer options

1. Secondary fibro-cavitary tuberculosis
2. Secondary cirrhotic tuberculosis
3. Secondary fibrous-focal tuberculosis
4. Primary tuberculosis, primary affect development
5. Hematogenous macrofocal pulmonary tuberculosis

Explanation

Fibrous-cavernous pulmonary tuberculosis. is a secondary form of tuberculosis, the substrate is a cavity (or more) with hard walls and massive fibrosis in adjacent tissue.