Tuberculosis is a contagious bacterial infection which primarily affects the lung parenchyma but it can affect any other part of the body. Mycobacterium tuberculosis complex is mainly responsible for majority of cases in India and worldwide, but other species are also responsible for causing tuberculosis among which includes M. bovis, M. africanum, M. microti, M. Canetti. We retrospectively reviewed 40 patients of histologically or microbiologically proven diagnosis of TB spondylitis from the time period of January 2020 to October 2021 in the Radio-Diagnosis and Imaging Department of Pacific Medical College and Hospital, Udaipur, Rajasthan, India. Findings such as cavitation, consolidation, tree in bud opacities, miliary nodules are suggestive of pulmonary tuberculosis. Out of 5 patients suffering from active pulmonary tuberculosis, cavitation was seen in 20% (1 patient) on chest skiagram whereas 40% (2 patients) showed cavitation on HRCT chest. Consolidation was seen in 60% (3 patients) on chest skiagram whereas it was seen in 80% (4 patients) on HRCT chest.