TB Research

A Case of Pericostal Tuberculosis Discovered Incidentally on an Abdominal MRI

Kanata K, Shirai T, Matsushita S, Ito Y, Ichijo K, Uehara M

Respirology case reports · 2025-05

Abstract

A mobile pleural mass on an MRI was incidentally detected in a 45-year-old woman. Thoracoscopic resection revealed caseous necrosis and PCR-confirmed Mycobacterium tuberculosis , leading to a diagnosis of pericostal tuberculosis. This rare case emphasises considering pericostal tuberculosis in the differential diagnosis of pleural tumours if there are suspicious MRI features.