LAUSR

A 32-year-old woman presented with backache of 4 months’ duration. She also complained of cough, anorexia, and some weight loss. She had a local tenderness at T6–T7 vertebrae. CNS was normal. A chest X-ray revealed a left lower lobe lung lesion (figure, A). CT thorax and MRI dorsal spine revealed left lung consolidation, pleural collection, T6 vertebral wedge collapse, and paravertebral collection (figure, B–E). Differential diagnoses included spinal tuberculosis (Pott disease) vs metastatis.1 Pleural biopsy revealed a tuberculous granulomatous lesion (figure, F). She was given antituberculosis drugs. After 1 month, remarkable pain relief was noted.