case_images: PMC11376222_01
case_images: Thorascoscopic images of parietal pleura. Image showing multiple acneiform lesions over the parietal pleura.
case_images: acmi-6-00737-g001.jpg
case_images: PMC11376222_01_acmi-6-00737-g001.jpg
case_images: F1
case_images: Bronchoscopy was unremarkable macroscopically, whereas video-assisted thoracoscopic decortication showed multiple small, acneiform lesions over the left lower lobe parietal pleura (Fig. 1).
case_images: Left lower lobe parietal pleura histopathology slide. Haematoxylin and eosin stain of pleural tissue biopsy showing multiple histiocytic granulomas with giant cells and central necrosis.
case_images: acmi-6-00737-g002.jpg
case_images: PMC11376222_01_acmi-6-00737-g002.jpg
case_images: F2
case_images: Granulomas also exhibited central necrosis (Fig. 2).
case_images: Left lower lobe parietal pleura biopsy. Ziehl-Neelsen stain of pleural tissue biopsy showing a solitary, positive cluster.
case_images: acmi-6-00737-g003.jpg
case_images: PMC11376222_01_acmi-6-00737-g003.jpg
case_images: F3
case_images: MTB disease (Fig. 3). Mycobacterial culture of the pleural tissues flagged positive after 7 days' incubation in liquid agar medium (MGIT-960); Ziehl-Neelsen stain of the growth medium showed acid-fast bacilli.