Fig. 6
From: Spectrum of imaging findings in osteoarticular tuberculosis
TB meningitis involving brain and spinal cord- A 13-year-old girl presented with backache with history of disseminated TB. On MRI-Sagittal T2, STIR (A, B) and post-contrast sagittal, axial (C, D) images show collapse of D5 vertebra (arrow) and peripherally enhancing anterior subligamentous collection (arrow heads). Spinal canal shows long segment sheath like meningeal thickening and enhancing lesions suggestive of arachnoiditis with exudates (dotted arrows). Few intradural extramedullary enhancing nodules seen likely tuberculomas (black arrow). Axial post-contrast image (E) of brain shows few conglomerated ring enhancing lesions in right basal ganglia and bilateral cingulate gyrus (white oval). Findings suggestive of—Pott’s spine with tubercular meningitis brain and spinal cord. Patient was started on ATT and responded well to treatment