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  Indian J Med Microbiol
 

Figure 1: (a) Chest computed tomography after the completion of the initial treatment for tuberculosis revealed a small amount of pleural effusion with pleural thickening which is compatible with a previous diagnosis of tuberculous pleurisy (arrow). (b) Chest contrast computed tomography documenting recurrence of tuberculosis revealed deterioration, with more pleural fluid and increased pleural thickening (arrow). (c) Abdominal contrast computed tomography at the recurrence of tuberculosis at the time of recurrence documenting a low attenuation area in iliopsoas muscle with rim enhancement (arrow). (d) T2-weighted magnetic resonance imaging revealing separation of the diaphragm from its site of attachment at the vertebrae; this resulted in penetration of the pleural effusion into the right iliopsoas muscle (circle). (e) Purulent, hemorrhagic fluid obtained from the right iliopsoas muscle. (f) Enhanced fluoroscopy of the right iliopsoas muscle revealed the presence of fistula between the psoas muscle and the thoracic region (arrow). (g) Ziehl–Neelsen staining fluid from the psoas abscess revealed a cluster of acid-fast bacilli

Figure 1: (a) Chest computed tomography after the completion of the initial treatment for tuberculosis revealed a small amount of pleural effusion with pleural thickening which is compatible with a previous diagnosis of tuberculous pleurisy (arrow). (b) Chest contrast computed tomography documenting recurrence of tuberculosis revealed deterioration, with more pleural fluid and increased pleural thickening (arrow). (c) Abdominal contrast computed tomography at the recurrence of tuberculosis at the time of recurrence documenting a low attenuation area in iliopsoas muscle with rim enhancement (arrow). (d) T2-weighted magnetic resonance imaging revealing separation of the diaphragm from its site of attachment at the vertebrae; this resulted in penetration of the pleural effusion into the right iliopsoas muscle (circle). (e) Purulent, hemorrhagic fluid obtained from the right iliopsoas muscle. (f) Enhanced fluoroscopy of the right iliopsoas muscle revealed the presence of fistula between the psoas muscle and the thoracic region (arrow). (g) Ziehl–Neelsen staining fluid from the psoas abscess revealed a cluster of acid-fast bacilli