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Also the lung apices because of their high ventilation/perfusion ratio) Postprimary tuberculosisa (reactivation or reinfection) Fibrocaseous apical cavitation (high oxygen tension) Reparative Quiescent Progressive Local extension Pleural involvement Airway dissemination (tuberculous bronchopneumonia) Haematogenous (miliary tuberculosis) Non-reactive tuberculosis (immunocompromised or elderly) Primary tuberculosis The very early stages of a tuberculous lesion in the human lung have seldom been seen, and our ideas on its pathogenesis have been derived almost wholly from study of lesions in experimental animals