PMC7780224_01
Chest radiograph demonstrated moth-eaten osteolytic lesion at the right anterior 8th rib.
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Chest radiograph demonstrated a moth-eaten osteolytic lesion at the right anterior 8th rib, shown in Figure 1.
Chest MRI shows lobulated irregular rim-enhancing lesion epicenter with destruction of the right lateral 8th rib causing pressure effect to right hepatic lobe. Penumbra sign is positive.
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Chest magnetic resonance imaging (MRI) is shown in Figure 2.
Microscopic examination showed granulomatous inflammation with caseous necrosis.
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fig3
Pathology, shown in Figure 3, confirmed caseous granulomatous inflammation compatible with mycobacterial infection.