PMC4731994_01
MRI image of the patient with multifocal musculoskeletal tuberculosis. a MRI showed degeneration in cervical vertebrae. T1-weighted sagittal image showed heterogeneous, mostly hypointense, lesions involving the C4 and C5 vertebrae (arrowhead). b T2-weighted sagittal image showed posterior protrusion of C3-4, C4-5, C5-6 and C6-7 and light compression of the corresponding meninges capsule (arrowhead). c MRI showed degeneration of thoracic vertebra. T1-weighted sagittal image showed heterogeneous, mostly hypointense, lesions involving T11 (arrowhead). d T2-weighted sagittal image showed posterior protrusion of T11 and light compression of the corresponding meninges (arrowhead)
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Fig1
Accordingly, multiple bone metastases were suspected (Fig. 1).
CT image of the patient with multifocal musculoskeletal tuberculosis. F-18 FDG-PET/CT images showed irregular increased FDG uptake (arrowheads) with maximum SUVs ranging from 10.2 to 18.5 and involving bilateral collarbones, ribs, thoracolumbar vertebrae, ilium, sacrum, pubis, hip and the left side of the femoral neck
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Fig2
Malignant cells were not detected in the pleural effusion. 18 F-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET)/computed tomography (CT) revealed that there were multiple metastases in the bilateral pleural effusion, whole bone, bilateral hilar lymph nodes, mediastinal lymph node and chest wall (Fig. 2).