Radiology plays a crucial role in the diagnosis, management, and monitoring of tuberculosis treatment, providing valuable insights into the disease’s extent and response to therapy. Chest X-rays are the primary imaging modality for detecting pulmonary tuberculosis, revealing characteristic findings such as cavitations, nodules, and infiltrates. Computed tomography (CT) scans offer more detailed images, aiding in the assessment of complex cases and complications like pleural effusions or lymphadenopathy. For extrapulmonary tuberculosis, imaging modalities such as ultrasound, magnetic resonance imaging (MRI), and positron emission tomography (PET) scans are utilized to identify tuberculosis involvement in organs like the lymph nodes, bones, central nervous system, and abdomen. Radiological imaging is essential not only for initial diagnosis but also for evaluating treatment efficacy, detecting complications, and guiding interventional procedures. Consistent and accurate radiological assessment is a cornerstone of comprehensive tuberculosis care, ensuring effective treatment and monitoring of this multifaceted disease.