case_images: PMC11041532_01
case_images: Coronal (a), sagittal (b) and (c), and axial (d) and (e) planes of a chest, abdomen, and pelvis computed tomography scan (bone window) revealing multiple lytic lesions of the spine with cortical destruction (red arrows).
case_images: 10.1177_2050313X241248390-fig1.jpg
case_images: PMC11041532_01_10.1177_2050313X241248390-fig1.jpg
case_images: fig1-2050313X241248390
case_images: The bone window revealed multiple lytic lesions of the axial and peripheral skeleton with cortical destruction in some of the lesions (Figure 1).
case_images: Axial planes of the lung window show left centrilobular small nodules, branching linear and nodular opacities in apical areas (blue arrows), and irregular cavitation (red arrows).
case_images: 10.1177_2050313X241248390-fig2.jpg
case_images: PMC11041532_01_10.1177_2050313X241248390-fig2.jpg
case_images: fig2-2050313X241248390
case_images: These findings were associated with centrilobular small nodules, branching linear and nodular opacities forming a tree-in-bud appearance with some lobular areas of consolidation, and irregular cavitation (Figure 2).
case_images: Sagittal T2 and STIR (short tau inversion recovery)weighted images show multiple high-signal spine lesions with no disk involvement.
case_images: 10.1177_2050313X241248390-fig3.jpg
case_images: PMC11041532_01_10.1177_2050313X241248390-fig3.jpg
case_images: fig3-2050313X241248390
case_images: A spine magnetic resonance imaging (MRI) was then performed to look for discal involvement (Figure 3).
case_images: Pre-anti-tuberculous therapy computed tomography scans (a), (c), and (e) and 4 months of follow-up (b), (d), and (f) show cortical repair (red arrows) with more bone condensed lesions (blue arrows).
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case_images: PMC11041532_01_10.1177_2050313X241248390-fig4.jpg
case_images: fig4-2050313X241248390
case_images: The imaging improved with more condensed bone compared with the pretherapy pattern (Figure 4).