![2-[18F] fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (18F-FDG PET/CT) images showed multiple hypermetabolic areas in lung (A) and vertebrae (B). The patterns of bone destruction were osteolytic and sclerotic. Intervertebral disc involvement and paraspinal tissue abscess were also observed, which were helpful in differentiating lung cancer with spinal metastatic lesions.](https://oup.silverchair-cdn.com/oup/backfile/Content_public/Journal/ejcts/46/2/10.1093_ejcts_ezu212/1/m_ezu21201.jpeg?Expires=1749515240&Signature=09zMS55FLill1nF3iizSAbGr8Ztt6LxXduCVmcrAxgX86A93OAaZf40dXNKDgchB9HoDzuksyl0uqx4T52Yax9FfySp6UBTf3e4uzM2YtyllU3jS2tO7T1PIXwe7qkZNs2B1EqLf6TPv7jp-RPPoa-fNbrTVoE5dzkOQhAL~M46sihsIEtKDMFUufnt3WoctBHLTCzlKiPd5Z4Xk87BmtxVVsBYaH2OSk8l4yiw9BX~3BjvFDJJyPpnibwvqasVa6~ww41iJEts9-nuHf4yUzfyrVJhT4qjgwCK-AVshin6750mzp3Or85R8~C3zxUHoJWslwiavzbWMh5KEGvIbNA__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA)
2-[18F] fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (18F-FDG PET/CT) images showed multiple hypermetabolic areas in lung (A) and vertebrae (B). The patterns of bone destruction were osteolytic and sclerotic. Intervertebral disc involvement and paraspinal tissue abscess were also observed, which were helpful in differentiating lung cancer with spinal metastatic lesions.
Histological examination (tissue obtained by bronchofiberscopy) shows typical chronic granulomatous infection, consisting of an epithelioid granuloma, caseous necrosis, lymphocyte and multinucleated giant cells (haematoxylin–eosin stain, ×100)
Funding
This work was partly supported by Shanghai Chest Hospital (YZ 12-19), the Science Technology Commission of Shanghai Municipality (124119a0100) and the National Natural Science Foundation of China (81301218 and 81301262).
