case_images: PMC5233733_01
case_images: Preoperative computed tomography of S1 and L1 reveals bone destruction and vertebral abnormalities. a L1 Vertebral lesions and vertebral invasion. b S1 Vertebral lesions and vertebral invasion. Red arrows indicate location and extent of the lesions
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case_images: PMC5233733_01_132_2016_3349_Fig1_HTML.jpg
case_images: Fig1
case_images: L1 and S1 (Fig. 1). Lumbar vertebra magnetic resonance imaging (MRI; Fig. 2) also revealed that the left half of the L1 vertebral body had been destroyed and that the S1 lesion extended into the soft tissues.
case_images: Preoperative magnetic resonance imaging of L1 and S1-S2 reveals bone destruction and vertebral abnormalities. Red arrows indicate L1 (upper arrow) and S1-S2 (lower arrow) lesions in MRI
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case_images: PMC5233733_01_132_2016_3349_Fig2_HTML.jpg
case_images: Fig2
case_images: L1 and S1 (Fig. 1). Lumbar vertebra magnetic resonance imaging (MRI; Fig. 2) also revealed that the left half of the L1 vertebral body had been destroyed and that the S1 lesion extended into the soft tissues.
case_images: A preoperative whole-body bone scan reveals abnormal bone densities at L1 and S1-S2, which indicated metastatic tumors. Red arrows show extent of invasion of lesions in whole-body bone scan
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case_images: PMC5233733_01_132_2016_3349_Fig3_HTML.jpg
case_images: Fig3
case_images: A whole-body bone scan (Fig. 3) revealed generally clear results, although the L1 and S1-S2 vertebrae exhibited abnormal bone densities, which indicated the possibility of bone tumor.
case_images: Postoperative pathology reveals epithelioid cells and multinucleated giant cell granuloma formation, with significant caseous necrosis, granuloma, and a diffuse oval body with refraction around the crassicarpa membrane. Positive periodic acid-Schiff (PAS) and periodic acid-silver methenamine (PASM) results indicate a fungal infection. a PASM is positive. b pathological results: fungal infection. c positive periodic acid-schiff (PAS(+))
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case_images: PMC5233733_01_132_2016_3349_Fig4_HTML.jpg
case_images: Fig4
case_images: The postoperative pathology report identified inflammatory changes at L1 and S1, which indicated a fungal infection (Fig. 4).
case_images: Computed tomography at a 3 months and b 9 months reveals no symptoms of recurrence and no changes in the lesions. Red arrows show improvement of lesions at 3-month and 9-month follow-up
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case_images: Fig5
case_images: The patient also did not exhibit any symptoms of recurrence or abnormal imaging findings at the 9-month follow-up (Fig. 5).