PMC8247726_01
MRI of sagittal lumbosacral spine in STIR image showing diffused L5 vertebral body edema with large collection in interspinal and paraspinal region from L4 to S1 level.
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F1
The MRI additionally revealed diffused vertebral body edema with a large intraspinal/ paraspinal and anterior epidural fluid collection from L4 to S1 [Figure 1].
H&E section showing Langhans-type multinucleated giant cells, epithelioid cells, and caseous necrosis (x400).
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F2
The histopathological report showed epithelioid cell granulomas with central caseation surrounded by Langhans type giant cells [Figure 2].
ZN stain showing acid-fast bacilli (x1000).
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F3
ZN stain for AFB was also positive [Figure 3].