PMC9678121_01
PET CT scan showing of multiple focal areas of metabolically active, lytic lesions in the bones
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There was no evidence of significant pulmonary nodules or metabolically active disease anywhere else in the body (Fig. 1).
Oesophagogastroduodenoscopy showing the openings of two tracheoesophageal fistulae (arrows)
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OGD was notable for two fistulous openings in the oesophagus, the first one at 29 cm and the other at 35 cm from the incisor (Fig. 2).
Histopathology showing a caseating granuloma (panel A) with a single acid-fast bacillus on ZN staining (panel B)
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Histopathology revealed granulomatous inflammation with rare acid-fast bacilli (AFB) consistent with mycobacterial infection (Fig. 3).