case_images: PMC9904801_01
case_images: PMC9904801_02
case_images: Chest X-ray image. Scattered calcified lesions in the left lower lung.
case_images: cureus-0015-00000033493-i01.jpg
case_images: PMC9904801_02_cureus-0015-00000033493-i01.jpg
case_images: FIG1
case_images: The chest X-ray (Figure 1) showed scattered calcified lesions in the left lower lung, but no other significant findings were evident.
case_images: Chest computed tomography scan. Chest computed tomography scan on admission showing dilated bronchioles surrounded by granular, chordate, and plaque shadows (yellow arrows) in the bilateral lung apexes.
case_images: cureus-0015-00000033493-i02.jpg
case_images: PMC9904801_02_cureus-0015-00000033493-i02.jpg
case_images: FIG2
case_images: CT (Figure 2) showed dilated bronchioles with granular, chordate, and plaque shadows in the bilateral lung apexes. Cerebrospinal fluid (CSF) examinations showed an elevated cell count of 13 cells/muL (neutrophils: 21%, lymphocytes: 68%, and histiocytes: 11%) but normal protein, glucose, and adenosine deaminase levels, and the oligoclonal band were negative.
case_images: Magnetic resonance images. T1-weighted magnetic resonance images at the upper levels of the cerebellum on admission (A) and two years after tuberculosis treatment (B). Neither image shows swelling, atrophy of the cerebellum, or other abnormal signals.
case_images: cureus-0015-00000033493-i03.jpg
case_images: PMC9904801_02_cureus-0015-00000033493-i03.jpg
case_images: FIG3
case_images: Head CT and brain MRI scans were normal (Figure 3), but positron emission tomography-CT imaging (Figure 4) showed significant 18F-fluorodeoxyglucose accumulation in the hilar lymph nodes and left lung.
case_images: Positron emission tomography-computed tomography imaging. Positron emission tomography-computed tomography imaging shows 18F-fluorodeoxyglucose accumulation in the hilar lymph nodes (yellow arrow) and the left upper lung (red arrow).
case_images: cureus-0015-00000033493-i04.jpg
case_images: PMC9904801_02_cureus-0015-00000033493-i04.jpg
case_images: FIG4
case_images: Head CT and brain MRI scans were normal (Figure 3), but positron emission tomography-CT imaging (Figure 4) showed significant 18F-fluorodeoxyglucose accumulation in the hilar lymph nodes and left lung.
case_images: PMC9904801_03
case_images: PMC9904801_04