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AJNR - American Journal of Neuroradiology

Published ahead of print on October 9, 2007
doi: 10.3174/ajnr.A0782

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Spinal Epidural Aspergillosis in a Patient With HIV Resulting From Long-Standing (3 Years) Lung Infection

R.D. Murtagh^a, M.J.D. Post^a, J. Bruce^b and K.K. Post^c

^a Department of Radiology, University of Miami Miller School of Medicine, Miami, Fla
^b Department of Pathology, University of Miami Miller School of Medicine, Miami, Fla
^c University of Miami Miller School of Medicine, Miami, Fla

View larger version (57K): [in this window] [in a new window]   Fig 1. On axial T2-weighted images (A) and postcontrast T1-weighted images (B), MR shows isointensity to hypointensity of the mass with spinal invasion, widening of the neural foramen, severe cord compression, and heterogeneous enhancement.

View larger version (148K): [in this window] [in a new window]   Fig 2. Sagittal postgadolinium, fat-saturated image demonstrates avid enhancement of the mass, the epidural space circumferentially, and the T1–T3 vertebral bodies.

View larger version (169K): [in this window] [in a new window]   Fig 3. Gomori methenamine silver (GMS) stain for fungus showing branching hyphae. The fungal elements stain black (silver).