A 25-year-old Nepalese man arrives in the UK as an asylum seeker. During new entrant screening, a chest X-ray shows a calcified Ghon focus in the righ...

Question

A 25-year-old Nepalese man arrives in the UK as an asylum seeker. During new entrant screening, a chest X-ray shows a calcified Ghon focus in the right mid-zone with a calcified right hilar lymph node (Ranke complex). He is asymptomatic. What does this finding indicate?

Accepted Answer

Evidence of previous primary TB infection that has healed with calcification; this is a healed Ranke complex and does not indicate active disease, but the patient should be assessed for LTBI

Answer

Active pulmonary TB requiring immediate RIPE treatment

Answer

Lung cancer requiring urgent oncology referral

Answer

Sarcoidosis

Answer

This is a normal finding requiring no follow-up

uk-dtmh MCQ (SBA): Ranke Complex

A 25-year-old Nepalese man arrives in the UK as an asylum seeker. During new entrant screening, a chest X-ray shows a calcified Ghon focus in the right mid-zone with a calcified right hilar lymph node (Ranke complex). He is asymptomatic. What does this finding indicate?