case_images: PMC9887264_01
case_images: Contrast-enhanced computed tomographic scan showed a pathological fracture and osteolytic changes in the vertebra at the T12-L1 levels. A mass lesion with early enhancement was observed in the right kidney. A, Sagittal. B, Axial, early arterial phase. C, Axial, late phase.
case_images: ofad019f1.jpg
case_images: PMC9887264_01_ofad019f1.jpg
case_images: ofad019-F1
case_images: Computed tomography revealed a fracture with osteolytic changes in Th12-L1 vertebrae and a mass in the right kidney (Figure 1).
case_images: Magnetic resonance imaging showed the T12-L1 vertebral fractures and their advance into the spinal canal. A, Sagittal, T1-weighted. B, Sagittal, T2-weighted.
case_images: ofad019f2.jpg
case_images: PMC9887264_01_ofad019f2.jpg
case_images: ofad019-F2
case_images: Magnetic resonance imaging revealed Th12-L1 vertebral fractures and protrusion of the vertebrae into the spinal canal (Figure 2).
case_images: Pathological findings of the vertebral tissue. Caseous necrosis surrounded by epithelial granulomas and multinucleated Langhans giant cells were observed.
case_images: ofad019f3.jpg
case_images: PMC9887264_01_ofad019f3.jpg
case_images: ofad019-F3
case_images: Pathological examination of the vertebral tissue showed caseous necrosis surrounded by epithelial granulomas and a few multinucleated Langhans giant cells (Figure 3).
case_images: Pathological findings of the vertebral tissue. Auramine-rhodamine staining revealed acid-fast bacilli.
case_images: ofad019f4.jpg
case_images: PMC9887264_01_ofad019f4.jpg
case_images: ofad019-F4
case_images: A few acid-fast bacilli were found on auramine-rhodamine and acid-fast stains; no neoplastic lesions were detected (Figure 4).