PMC4392528_01
T2-weighted sagittal imaging (T2WI) of spine showing oval shaped iso- to subtle hyperintense lesion with indistinct central flow voids at D3 level
SNI-6-42-g001.jpg
PMC4392528_01_SNI-6-42-g001.jpg
F1
T1-weighted imaging (T1WI). The lesion was iso- to subtle hyperintense with central flow void onT2-weighted imaging (T2WI) [Figure 1], with cord edema rostral to the mass.
Contrast-enhanced MRI of spine showing a brilliantly enhancing lesion with hypointense centre at D3 with sharp margins
SNI-6-42-g002.jpg
PMC4392528_01_SNI-6-42-g002.jpg
F2
Contrast-enhanced MRI showed a brilliantly enhancing lesion with hypointense centre at D3 with sharp margins [Figure 2].
Operated specimen showing the pinkish fleshy mass
SNI-6-42-g003.jpg
PMC4392528_01_SNI-6-42-g003.jpg
F3
At D3-4, laminectomy was performed, posterior longidutinal myelotomy was executed, and a well-circumscribed pinkish fleshy mass [Figure 3] was found to be located 2 mm anterior to posterior aspect of the cord.
Histopathology section in scanner view showing multiple granulomas
SNI-6-42-g004.jpg
PMC4392528_01_SNI-6-42-g004.jpg
F4
The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.
Histopathology section in high power view showing epitheloid cells
SNI-6-42-g005.jpg
PMC4392528_01_SNI-6-42-g005.jpg
F5
The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.
Histopathology section with special stain demonstrating the AFBs
SNI-6-42-g006.jpg
PMC4392528_01_SNI-6-42-g006.jpg
F6
The histopathology showed multiple granulomas [Figure 4] comprising of lymphocytes plasma cells, neutrophils, and large number of epitheloid cells [Figure 5]in clusters with demonstration of acid fast bacilli (AFB) [Figure 6] typical of Mycobacterium tuberculosis.