case_images: PMC8326063_01
case_images: Sagittal (a) and axial (b) computed tomography scan of the thoracic spine showing a calcified T6-T7 paracentral disc eccentric to the right. Sagittal (c) and axial (d) T2-weighted magnetic resonance imaging (MRI) demonstrating the T6-T7 paracentral disc with T2 signal change extending from the T2 to T10 levels. Sagittal T1-weighted MRI with gadolinium (e) demonstrating enhancement around the T6-T7 disc bulge. Histopathological examination demonstrated noncaseating granulomas consistent with the diagnosis of sarcoidosis (f).
case_images: SNI-12-331-g001.jpg
case_images: PMC8326063_01_SNI-12-331-g001.jpg
case_images: F1
case_images: Computed tomography (CT) imaging of the spine revealed a calcified T6-T7 paracentral disc eccentric to the right [Figure 1a and b]. Magnetic resonance imaging (MRI) of his spine depicted again the T6-T7 paracentral disc with T2 signal change extending from T2 to T10 level [Figure 1c and d]. Given that, the extent of T2 cord signal change was out of proportion to the disc disease, contrasted MRI was acquired afterward demonstrating intramedullary enhancement around the T6-T7 disc bulge [Figure 1e]. Histopathological examination demonstrated noncaseating granulomas consistent with a diagnosis of sarcoidosis [Figure 1f].