Tuberculous granulomas
Updates to Case Attributes
Updates to Study Attributes
MRI brain plain with contrast performed and revealed –.
Ill-defined altered signal intensity lesions in bilateral frontal lobes, splenium of corpus callosum on left side, right globus pallidus and thalamus, midbrain on right side, left temporal lobe, bilateral occipital lobes and left cerebellar hemisphere. Post contrast study shows ring enhancement of the lesions in splenium of corpus callosum, midbrain and left cerebellar hemisphere. Rest of the lesions shows nodular homogenous enhancement.
Post contrast FLAIR shows enhancement along sulcal spaces of left frontotemporal lobe and right frontal lobe, sylvian fissure on left side.
A diagnosis of multiple tuberculomas with associated leptomeningitis was given.
Screening of cervicodorsolumbarthe whole spine revealed –;
T2 hyperintensity with endplate irregularity involving inferior end plate of D12 and superior end plate of L1 vertebral bodies and intervening intervertebral disc, which was indicative of infective spondylodiscitis.