case_images: PMC9610685_01
case_images: Intradural and leptomeningeal enhancement medullaris, sagittal T1 fat suppressed with contrast.
case_images: SNI-13-435-g001.jpg
case_images: PMC9610685_01_SNI-13-435-g001.jpg
case_images: F1
case_images: T1 contrasted images [Figures 1 and 2].
case_images: Enhancing nerve roots of the cauda equina, axial T1 with contrast.
case_images: SNI-13-435-g002.jpg
case_images: PMC9610685_01_SNI-13-435-g002.jpg
case_images: F2
case_images: T1 contrasted images [Figures 1 and 2].
case_images: Thickening and enhancement at the lower lumbosacral spinal canal (from approximately L4 to L5 through the S2 levels), sagittal T2.
case_images: SNI-13-435-g003.jpg
case_images: PMC9610685_01_SNI-13-435-g003.jpg
case_images: F3
case_images: The dura appeared thickened and avidly enhanced from L5 to S2 and there was a fluid-fluid level appreciated on the T2-weighted sequences suggesting possibly proteinaceous debris, blood, or pus [Figure 3]. The DWI image showed marked restriction from L4 to L5 through the S2 levels [Figure 4].
case_images: Soft-tissue collection demonstrating diffuse heterogeneous enhancement and marked restriction within the thecal sac, isotropic (diffusion-weighted imaging).
case_images: SNI-13-435-g004.jpg
case_images: PMC9610685_01_SNI-13-435-g004.jpg
case_images: F4
case_images: The dura appeared thickened and avidly enhanced from L5 to S2 and there was a fluid-fluid level appreciated on the T2-weighted sequences suggesting possibly proteinaceous debris, blood, or pus [Figure 3]. The DWI image showed marked restriction from L4 to L5 through the S2 levels [Figure 4].
case_images: Gomori methenamine silver stain showing hyphal forms, original magnification x400.
case_images: SNI-13-435-g005.jpg
case_images: PMC9610685_01_SNI-13-435-g005.jpg
case_images: F5
case_images: The histology showed rare nonseptate pseudohyphae and blastospores without a broad-based bud, indicative of a Candida species [Figure 5].
case_images: Hematoxylin and eosin stain showing necrosis, original magnification x400.
case_images: SNI-13-435-g006.jpg
case_images: PMC9610685_01_SNI-13-435-g006.jpg
case_images: F6
case_images: The submitted tissue was necrotic and demonstrated local inflammation on pathologic examination [Figure 6].