case_images: PMC4392528_01
case_images: T2-weighted sagittal imaging (T2WI) of spine showing oval shaped iso- to subtle hyperintense lesion with indistinct central flow voids at D3 level
case_images: SNI-6-42-g001.jpg
case_images: PMC4392528_01_SNI-6-42-g001.jpg
case_images: F1
case_images: T1-weighted imaging (T1WI). The lesion was iso- to subtle hyperintense with central flow void onT2-weighted imaging (T2WI) [Figure 1], with cord edema rostral to the mass.
case_images: Contrast-enhanced MRI of spine showing a brilliantly enhancing lesion with hypointense centre at D3 with sharp margins
case_images: SNI-6-42-g002.jpg
case_images: PMC4392528_01_SNI-6-42-g002.jpg
case_images: F2
case_images: Contrast-enhanced MRI showed a brilliantly enhancing lesion with hypointense centre at D3 with sharp margins [Figure 2].
case_images: Operated specimen showing the pinkish fleshy mass
case_images: SNI-6-42-g003.jpg
case_images: PMC4392528_01_SNI-6-42-g003.jpg
case_images: F3
case_images: At D3-4, laminectomy was performed, posterior longidutinal myelotomy was executed, and a well-circumscribed pinkish fleshy mass [Figure 3] was found to be located 2 mm anterior to posterior aspect of the cord.
case_images: Histopathology section in scanner view showing multiple granulomas
case_images: SNI-6-42-g004.jpg
case_images: PMC4392528_01_SNI-6-42-g004.jpg
case_images: F4
case_images: The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.
case_images: Histopathology section in high power view showing epitheloid cells
case_images: SNI-6-42-g005.jpg
case_images: PMC4392528_01_SNI-6-42-g005.jpg
case_images: F5
case_images: The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.
case_images: Histopathology section with special stain demonstrating the AFBs
case_images: SNI-6-42-g006.jpg
case_images: PMC4392528_01_SNI-6-42-g006.jpg
case_images: F6
case_images: The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.