PMC3357531_01
Magnetic resonance imaging of the upper abdomen showing asymmetric, bilateral enlargement of the adrenal glands.
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Magnetic resonance imaging (MRI) of the upper abdomen showed asymmetrically enlarged adrenal glands (coronal diameter: right, 9 mm; left, 11 mm), consistent with bilateral adrenal hyperplasia (Figure 1).
Photomicrograph of lymph node biopsy specimen showing caseating granulomas consistent with tuberculosis (hematoxylin and eosin stain; 20 fold magnification).
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 Inguinal sonography showed multiple, enlarged (diameter, 1.5 to 2 cm), hypoechoic, nonreactive right inguinal lymph nodes with thickened cortex; excisional biopsy of an inguinal lymph node showed caseating granulomas, consistent with granulomatous lymphadenitis (Figure 2).
Magnetic resonance imaging of pathologic signalization in lumbar vertebrae.
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Lumbar MRI showed loss of vertebral body height and the presence of pathologic signal in L1 and L2, consistent with compression fracture, metastasis, or infection (Figure 3); lumbar vertebral biopsy, performed by an open surgery, showed chronic, necrotic, caseating granulomas consistent with tuberculous osteomyelitis (Figure 4).
Photomicrograph of vertebral bone biopsy specimen showing caseating granulomas consistent with tuberculosis (hematoxylin and eosin stain; 20 fold magnification).
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Lumbar MRI showed loss of vertebral body height and the presence of pathologic signal in L1 and L2, consistent with compression fracture, metastasis, or infection (Figure 3); lumbar vertebral biopsy, performed by an open surgery, showed chronic, necrotic, caseating granulomas consistent with tuberculous osteomyelitis (Figure 4).