PMC8093783_01
PMC8093783_02
Sagittal Magnetic resonance imaging of patient's spine. (a) On admission there was discrete signal enhancement spanning from T4 to T11 in T2-weighted sequences. (b) 2 weeks later, there was a discrete contrast enhanced signal at the height of T4/5 in T1-weighted sequences. (c,d) Prior to discharge, T2-weighted sequences showed (c) a new cervical lesion spanning from C3 to C7 and the unchanged signal enhanced thoracic lesion (d). (e) Resolvance of myelopathic changes 1 year after initial admission.
fneur-12-672648-g0001.jpg
PMC8093783_08_fneur-12-672648-g0001.jpg
F1
An MRI of the spine showed complete resolution of the myelopathic changes and no contrast enhancement (Figure 1e).
PMC8093783_03
Sagittal Magnetic resonance imaging of patient's spine. (a) On admission there was discrete signal enhancement spanning from T4 to T11 in T2-weighted sequences. (b) 2 weeks later, there was a discrete contrast enhanced signal at the height of T4/5 in T1-weighted sequences. (c,d) Prior to discharge, T2-weighted sequences showed (c) a new cervical lesion spanning from C3 to C7 and the unchanged signal enhanced thoracic lesion (d). (e) Resolvance of myelopathic changes 1 year after initial admission.
fneur-12-672648-g0001.jpg
PMC8093783_08_fneur-12-672648-g0001.jpg
F1
An MRI of the spine showed complete resolution of the myelopathic changes and no contrast enhancement (Figure 1e).
PMC8093783_04
Sagittal Magnetic resonance imaging of patient's spine. (a) On admission there was discrete signal enhancement spanning from T4 to T11 in T2-weighted sequences. (b) 2 weeks later, there was a discrete contrast enhanced signal at the height of T4/5 in T1-weighted sequences. (c,d) Prior to discharge, T2-weighted sequences showed (c) a new cervical lesion spanning from C3 to C7 and the unchanged signal enhanced thoracic lesion (d). (e) Resolvance of myelopathic changes 1 year after initial admission.
fneur-12-672648-g0001.jpg
PMC8093783_08_fneur-12-672648-g0001.jpg
F1
An MRI of the spine showed complete resolution of the myelopathic changes and no contrast enhancement (Figure 1e).
Overview of haematopoietic bone marrow with a central granuloma. The arrows mark multinucleated giant cells. The inset shows a granuloma with the typical radially arranged fibres in the reticulin fibre stain.
fneur-12-672648-g0002.jpg
PMC8093783_04_fneur-12-672648-g0002.jpg
F2
Further testing of the bone marrow finally revealed multifocal epithelioid cell granulomas with giant cells, and 8 weeks after admission, the patient was diagnosed with sarcoidosis of the bone marrow (Figure 2).
PMC8093783_05
PMC8093783_06
PMC8093783_07
PMC8093783_08
Sagittal Magnetic resonance imaging of patient's spine. (a) On admission there was discrete signal enhancement spanning from T4 to T11 in T2-weighted sequences. (b) 2 weeks later, there was a discrete contrast enhanced signal at the height of T4/5 in T1-weighted sequences. (c,d) Prior to discharge, T2-weighted sequences showed (c) a new cervical lesion spanning from C3 to C7 and the unchanged signal enhanced thoracic lesion (d). (e) Resolvance of myelopathic changes 1 year after initial admission.
fneur-12-672648-g0001.jpg
PMC8093783_08_fneur-12-672648-g0001.jpg
F1
An MRI of the spine showed complete resolution of the myelopathic changes and no contrast enhancement (Figure 1e).