The result of each test determines if follow-up tests are necessary. Cattle suspected of being infected with bovine tuberculosis (TB) based upon results obtained from the caudal fold tuberculin (CFT) and comparative cervical tuberculin (CCT) test, are submitted to an appropriate animal diagnostic laboratory for necropsy (or autopsy). During the necropsy, cattle are examined using several techniques for evidence of infection with bovine TB. These techniques include gross and histological (microscopic) examination for lesions and organisms compatible with bovine TB.
Upon submission, animals are closely examined by a veterinary pathologist for gross lesions suggestive of bovine TB. The characteristic gross lesion seen in an animal infected with bovine TB is the presence of "tubercles" within the body. A tubercle is a white nodule usually 1mm - 2cm in diameter within a lymph node or organ. Tubercles commonly occur in the thoracic cavity (chest), however they may be found in other major organs such as the liver. In cattle, bovine TB most commonly will cause lesions in the lymph nodes of an infected animal. Therefore, during necropsy, the lymph nodes, especially those associated with the head, thorax, and abdomen, are closely examined. Many factors contribute to the formation of tubercles. Consequently, an animal may be infected with bovine TB despite the absence of tubercles. Just as importantly, there are other diseases capable of causing lesions that are grossly indistinguishable from tubercles. Therefore, finding gross lesions compatible with bovine TB is not conclusive evidence that the animal is infected with the disease. Further testing is required to make a definitive diagnosis of bovine TB, and this includes histopathology, acid-fast staining of tissues, polymerase chain reaction(PCR) and culture.
Throughout the examination, multiple tissue samples are taken and saved in formalin (a preservative) for histopathological (microscopic) examination. If gross lesions suggestive of bovine tuberculosis are found in any of the tissue samples examined, the animal is identified as lesioned. Animals in which lesions are not found are classified as no gross lesions (NGL), but are still subject to further, more sensitive testing for Mycobacterium bovis (the bacteria that causes bovine TB).