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Figure 3: MRI thoracic spine showing HSP with Pulmonary nodules-Histopathologically proven tuberculosis. Sagittal T2 (a) and post contrast (b) images of the cervical and upper thoracic spine show diffuse smooth thickening of the posterior dura (long arrows in a and b) from C2--T4 levels causing canal stenosis with cord congestion. The dura is hypointense on T2 and shows homogeneous post contrast enhancement. STIR coronal images of the thoracic spine showed incidental finding of multiple scattered soft tissue attenuation parenchymal nodules in both lungs (circles in c). CT guided biopsy of the largest nodule in the right lower lobe was performed (short arrows in d). Histopathological examination showed multiple coalescent granulomas with epithelioid histiocytes, Langhan's type multinucleate giant cells, lymphocytes and central areas of incipient necrosis, suggestive of chronic granulomatous inflammation, suggestive of tuberculosis (e)

Figure 3: MRI thoracic spine showing HSP with Pulmonary nodules-Histopathologically proven tuberculosis. Sagittal T2 (a) and post contrast (b) images of the cervical and upper thoracic spine show diffuse smooth thickening of the posterior dura (long arrows in a and b) from C2--T4 levels causing canal stenosis with cord congestion. The dura is hypointense on T2 and shows homogeneous post contrast enhancement. STIR coronal images of the thoracic spine showed incidental finding of multiple scattered soft tissue attenuation parenchymal nodules in both lungs (circles in c). CT guided biopsy of the largest nodule in the right lower lobe was performed (short arrows in d). Histopathological examination showed multiple coalescent granulomas with epithelioid histiocytes, Langhan's type multinucleate giant cells, lymphocytes and central areas of incipient necrosis, suggestive of chronic granulomatous inflammation, suggestive of tuberculosis (e)