High-Resolution Computed Tomography (HRCT) has emerged as an invaluable tool for diagnosing and assessing pulmonary tuberculosis (TB) in patients. This research paper provides a comprehensive review of the role of HRCT in the evaluation of lung manifestations in tuberculosis patients. The paper discusses the advantages of HRCT over conventional imaging techniques, the various radiological features of pulmonary TB, and its significance in disease staging, treatment monitoring, and follow-up. The review also highlights the challenges and limitations associated with HRCT interpretation in TB cases and explores potential future directions for enhancing its utility in clinical practice.