case_images: PMC10876160_01
case_images: T2-weighted spine MRI demonstrating hyperintense signals in the cervical and thoracic spine (blue arrows).. MRI: magnetic resonance imaging
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case_images: PMC10876160_01_cureus-0016-00000052629-i01.jpg
case_images: FIG1
case_images: Brain magnetic resonance imaging (MRI) was normal, and spine MRI demonstrated an extensive T2 hyperintense lesion from C4 to T4, characteristics of LETM (Figure 1).
case_images: Chest computed tomography revealing bilateral hilar lymphadenopathy (blue arrows).
case_images: cureus-0016-00000052629-i02.jpg
case_images: PMC10876160_01_cureus-0016-00000052629-i02.jpg
case_images: FIG2
case_images: Chest computed tomography (CT) revealed hilar lymphadenopathy and mediastinal adenopathy (Figure 2).
case_images: Lymph node biopsy revealing clusters of epithelioid cells with multinucleated giant cells consistent with non-caseating granulomas.. Stains: hematoxylin and eosin (magnification: 40x).
case_images: cureus-0016-00000052629-i03.jpg
case_images: PMC10876160_01_cureus-0016-00000052629-i03.jpg
case_images: FIG3
case_images: Given the clinical picture and imaging findings, the patient underwent a thoracic spine biopsy, which revealed non-caseating granulomas consistent with sarcoidosis (Figure 3).