Background: Difficulties in diagnosing abdominal tuberculosis prevent the patient from receiving optimal therapy. The objective of this study was to determine whether chest X-rays have value in the diagnosis of abdominal tuberculosis which mimics ovarian cancer on CT-scans. Materials and Methods: : This was a retrospective study on abdominal tuberculosis patients who had mimicked ovarian cancer on CT-scans at Soetomo Hospital Surabaya from January 2015 to December 2020. Results: We included 33 patients in this study. The diagnosis was confirmed by biopsy and histopathological examination. The patient age ranged between 20 and 60 years. Twenty patients (60.6%) had normal chest X-rays. The most common severity level of CT scans results of abdominal tuberculosis was moderate severity (63.67%), which was most common in both the group of normal chest X-rays (65%) and the group of chest X-rays with pulmonary tuberculosis (61.5%). Pearson chi-square test showed there was no statistical relationship between the presence of pulmonary tuberculosis on chest X-ray and the extent of abdominal tuberculosis on CT scan. The contingency coefficient between the variables obtained an r of 0.157 (p> 0.05). Conclusion: Chest X-ray is considered to have no significant role in the diagnosis of abdominal tuberculosis mimicking ovarian cancer on CT-scan.

Diffuse Cystic Lung Disease (CLD) is rare and its etiology is unclear. This disease is more progressive if occurs in children. The frequent complications are pneumonia and pneumothorax. The management and prognosis of CLD is varied and difficult to predict. We report a caseof CLD in a child who had pneumonia and spontaneous pneumothorax. Although clinically improved after treatment and subsequentlytreated as outpatient, but bilateral pneumothorax is still present and chest tube is still inserted.