Crazy nodules in a hazy field: miliary tuberculosis presenting with ground glass opacities in a diagnosed case of Henoch–Schönlein purpura

Tuberculosis is known for its atypical manifestations among the immunosuppressed. In this case report, we describe a rare radiological presentation of tuberculosis in a patient on treatment with steroids for Henoch–Schönlein Purpura (HSP). The patient presented with complaints of fever, dry cough, and breathlessness. Chest imaging revealed diffuse ground glass opacity in bilateral lung fields with innumerable random nodules and mediastinal lymphadenopathy. Fundus examination revealed choroid tubercles and was diagnosed as miliary tuberculosis. The patient was started on anti-tubercular therapy and the patient improved symptomatically. This case report necessitates clinicians to keep an eye open for the atypical manifestations of tuberculosis.