PMC9887264_01
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.
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Computed tomography revealed a fracture with osteolytic changes in Th12-L1 vertebrae and a mass in the right kidney (Figure 1).
Magnetic resonance imaging showed the T12-L1 vertebral fractures and their advance into the spinal canal. A, Sagittal, T1-weighted. B, Sagittal, T2-weighted.
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Magnetic resonance imaging revealed Th12-L1 vertebral fractures and protrusion of the vertebrae into the spinal canal (Figure 2).
Pathological findings of the vertebral tissue. Caseous necrosis surrounded by epithelial granulomas and multinucleated Langhans giant cells were observed.
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Pathological examination of the vertebral tissue showed caseous necrosis surrounded by epithelial granulomas and a few multinucleated Langhans giant cells (Figure 3).
Pathological findings of the vertebral tissue. Auramine-rhodamine staining revealed acid-fast bacilli.
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A few acid-fast bacilli were found on auramine-rhodamine and acid-fast stains; no neoplastic lesions were detected (Figure 4).