The patient went on to have a biopsy.
Histology:
Sections show multiple fragments of cerebellar tissue which has areas of a prominent granulomatous infiltrate with surrounding lymphocytic reaction. The granulomas are poorly formed with giant cells and areas of prominent necrosis with no neutrophils seen. No evidence of malignancy is present. No organisms seen on PAS or ZN stains.
TB PCR: M tuberculosis complex: DETECTED
Cuture: MGIT Bottle Result: POSITIVE after 17 days
FINAL DIAGNOSIS: tuberculomas