Chest radiographic appearance of pulmonary tuberculosis (TB) in Human Immunodeficiency Virus (HIV) positive patients was reviewed. A study group of SO HIV +ve cases and a control group of 100 HIV ave cases were analysed. The chest radiographs of HIV seropositive group showed slgnlOcantly higher Incidence of thoracic lymphadenopathy (36% vs 8%, P<.OOI), pleural effusion (28% vs 10%, P<.OI) and miliary pattern (12% vs 2%, P<.05) as compared to the seronegative group. Cavitation was less common in the seropositive group (8% vs 35%, P<.OOI) than the seronegative group. Upper zone involvement was slgnlOcantly less common in the study group (38% vs 77%, P<.OOI) as compared to the control group. MJAFI 2002; 58: 05-08