Acute hematogenous, disseminated tuberculosis, or acute chestnut granulomatous tuberculosis is the result of hematogenous dissemination of tuberculosis bacilli from a lesion, with a large number of bacilli entering the bloodstream simultaneously or within a very short period of time. Acute pulmonary tuberculosis not only affects the lungs, but can also cause generalized pulmonary changes. The most common complication is tuberculous meningitis, which can also cause chestnut nodules in the liver, spleen, kidneys, etc. Clinical symptoms include acute high fever, night sweats, dry cough, dyspnea, abdominal pain, diarrhea or constipation, and in some cases, headache, nausea and drowsiness, and impaired consciousness. Mycobacterium tuberculosis examination is the most specific method to confirm the diagnosis of pulmonary tuberculosis, which can be found in the plate and is the main basis for confirming the diagnosis of pulmonary tuberculosis. Imaging chest x-ray examination can reveal the location and extent of lesions in the lungs, the size of cavities or holes, the thickness of the walls, etc. The transmission of x-ray is different for various types of tuberculosis lesions, and through x-ray examination, the pathological nature of tuberculosis lesions can be roughly estimated, and the early detection of tuberculosis can be judged as well as the development of the disease and the treatment effect.