Fig. 4

A 69-year-old female presented with blurred vison and intermittent headache over the course of one month. Brain CT revealed a nodule in the right occipital lobe. Sputum Xpert MTB/RIF testing was positive, and NGS identified Mycobacterium tuberculosis sequence 120,193 in the brain abscess puncture fluid. 18F-FDG PET/CT scan confirmed tuberculous pericarditis, a right occipital tuberculoma, and pulmonary tuberculosis. Images A-D demonstrated pericardial nodules on CT with focal 18F-FDG uptake on PET; Images E-F highlighted the right occipital tuberculoma; and images G-H showed bilateral pulmonary tuberculosis. All lesions are indicated by red arrows