This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pulmonary Tuberculosis and Lung Abscess, Subject name: Pathology
A 22-year-old man with AIDS complains of persistent cough, night sweats, low-grade fever and general malaise. A chest X-ray reveals an area of consolidation in the periphery of the left upper lobe, as well as hilar lymphadenopathy. Sputum cultures show acid-fast bacilli. Which of the following is the most likely diagnosis? 
Select and explain. 
A. Bronchopneumonia, B. Pulmonary abscess, C. Sarcoidosis, D. Tuberculosis
D: Tuberculosis
Answer: D: Tuberculosis 
Explanation: Tuberculosis represents infection with Mycobacterium tuberculosis, although atypical mycobacterial infections may mimic it. The Ghon complex includes parenchymal consolidation and enlargement of ipsilateral hilar lymph nodes and is often accompanied by a pleural effusion None of the other choices feature acid-fast organisms