MACRONODULAR MULTI-ORGANS TUBERCULOMA - CT AND MR APPEARANCES

The case of a 21-year-old woman presenting with macronodular multi-org ans tuberculoma is reported. She was examined for pulmonary tuberculos is on a chest X-ray film in January, 1995, and admitted with a cough, anorexia, and abdominal pain in July, 1996. Computed tomography reveal ed multiple calcified nodules with peripheral hypodense areas in the b rain, and calcified hypodense masses in the liver and spleen. Magnetic tuberculoma, resonance (MR) imaging showed hypointense masses in the liver and spleen on T1-weighted spin echo images and a hypointense mas s with a hyperintense area on T2-weighted spin echo images. On contras t-enhanced dynamic MR images, the liver and spleen masses were unenhan ced and hypointense with slight rim enhancement. T2-weighted spin echo images showed a round hypointense nodule in the right kidney and hydr onephrosis and enlargement in the left kidney. Antituberculous treatme nt was started with a gradual improvement in her signs and symptoms. H er temperature became normal. However, she was systemically treated wi th antituberculous chemotherapy 10 months later, her condition worsene d again. She died from increased intracranial pressure in August, 1997 .