PMC3872660_01
Magnetic resonance imaging (MRI) scan of lumbosacral spine showing enhancing T1 intermediate three soft tissue nodulations along the cauda equina at L2, L4, and L5-S2 filling the thecal sac
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F1
Magnetic resonance imaging (MRI) scan of spine and brain [Figures 1 and 2] showed enhancing T1 intermediate and T2 hypointense three soft tissue nodulations along the cauda equina at L2, L4, and L5-S2 filling the thecal sac in the lumbosacral region.
MRI scan of lumbosacral spine showing T2 hypointense three soft tissue nodulations along the cauda equina at L2, L4, and L5-S2 filling the thecal sac. At S2 level the soft tissue mass was scalloping the canalicular cortex
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F2
Magnetic resonance imaging (MRI) scan of spine and brain [Figures 1 and 2] showed enhancing T1 intermediate and T2 hypointense three soft tissue nodulations along the cauda equina at L2, L4, and L5-S2 filling the thecal sac in the lumbosacral region.
Histopathological examination of the operative specimen shows large granuloma with multinucleate giant cells lining zones of necrosis (a). Within the granuloma are numerous septate branching hyphae of Apsergillus spp highlighted by Gomori methenamine silver stains (b)
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F3
Operative specimen was sent for histopathological examination [Figure 3] which showed large granuloma with multinucleate giant cells lining zones of necrosis (A).