PMC7557907_01
MRI scan which unveils the hepatic nodular lessions. (a) T1. (b) T2.
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The magnetic resonance imaging (MRI) of the abdomen showed hypointense and hyperintense multiple nodular lesions in T1-weighed imaging and T2 weighed-imaging, respectively, with abnormal borders with a greatest size of 2 cm (Figure 1).
Liver section with multiple confluent, caseating granulomas (hematoxylin-eosin, original magnification x20).
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It showed infiltration of predominant eosinoplils, lymphocytes, plasmatocytes, and some giant cells with epitheloid necrotic granulomas (Figure 2).
Multiple intrahepatic granulomas that coalesce to form nodules with central necrosis and a surrounding cuff of admixed inflammatory cells (hematoxylin-eosin, original magnification x40).
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These findings are consistent with tuberculosis even though there were no acid-fast bacilli in Ziehl-Neelsen staining (Figure 3).