Background: The goal of this research was to report the primary pulmonary tuberculosis (TB) radiographic characteristics in formerly healthy adolescents. Materials and Methods: Two independent examiners had examined the chest radiographs of 100 participants who had the same TB strains. Typical TB was defined as nodule(s), consolidation, or cavitation-like lesions in the upper lung zones. Atypical TB was defined as having lesions of nodule(s), consolidation, or cavitation in lower lung zones, as well as pleural effusion. Results: Of the 100 patients that underwent chest radiographs, three had normal chest radiographs. Cavitary lesions were present in 63(63%) subjects. Pleural effusion was not observed in any patient, nor was mediastinal lymph node enlargement. Hilar lymph node enlargement was seen in only 16 subjects (16%). Overall, 59 (59%) subjects had the typical form of reactivation TB and 32 (32%) had TB lesions of the atypical form, based on chest radiograph findings. Conclusion: The most common radiographic features in primary pulmonary TB by recent infection in previously healthy teenagers are upper lung lesions, which were long thought to represent radiographic markers of reactivation pulmonary TB by remote infection.