case_images: PMC11136506_01
case_images: Axial noncontrast thoracic computed tomography image showing multiple micronodules randomly distributed in the bilateral lungs (miliary nodular pattern).
case_images: 1678-9849-rsbmt-57-e00916-2024-gf1.jpg
case_images: PMC11136506_01_1678-9849-rsbmt-57-e00916-2024-gf1.jpg
case_images: f1
case_images: Thoracic computed tomography revealed the presence of widespread nodules, measuring 1-2 mm in diameter, with a miliary pattern in both lungs (Figure 1).
case_images: Axial T2-weighted (T2W) (A, D), axial fluid attenuated inversion recovery (FLAIR) (B, E), sagittal (C), and coronal (F) T2W brain magnetic resonance (MR) images showing lesion foci with a centrally hypointense and peripheral hyperintense signal intensity (red arrows), which are numerous at the supra and infratentorial levels, most of which are subcortical, accompanied by peripheral vasogenic edema (yellow arrows) in some regions.
case_images: 1678-9849-rsbmt-57-e00916-2024-gf2.jpg
case_images: PMC11136506_01_1678-9849-rsbmt-57-e00916-2024-gf2.jpg
case_images: f2
case_images: These lesions, accompanied by edema, were identified as tuberculomas (Figure 2).
case_images: Noncontrast sagittal T1-wighted (T1W) (A) and T2-weighted (T2W) (B) lumbar magnetic resonance (MR) images show cortical irregularities accompanied by peripheral medullary bone marrow edema (red arrows) in the end plates adjacent to the L3-L4 and L4-L5 intervertebral discs. In addition, there are heterogeneous T2 signal increases in defined intervertebral discs. An abscess collection narrowing the spinal canal is also observed adjacent to the posterior corpus of the L4 vertebra (yellow arrows).
case_images: 1678-9849-rsbmt-57-e00916-2024-gf3.jpg
case_images: PMC11136506_01_1678-9849-rsbmt-57-e00916-2024-gf3.jpg
case_images: f3
case_images: Noncontrast lumbar MRI was performed because the patient complained of lower back pain, revealing the presence of spondylodiscitis at the L3-L5 level, which is indicative of Pott's disease and can lead to spinal canal compression (Figure 3).