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FOPE zones were identified on routine MRI ex-. aminations of the knee performed for acute or chron -. ic pain in 12 patients (seven girls and five boys; age. range, 11 years 9 monthsâ15 years 8 months); the MR. examinations were collected over 5 years (March. 2005âFebruary 2010). Patient history was obtained.
A neurosurgery opinion was taken regarding biopsy of the lesion but was not considered, again due to unstable condition of the child. Question : How to differentiate between tuberculoma and other space occupying lesions_? Expert Opinion : MRI is frequently performed in patients suspected to have central nervous system space occupying lesions to help in differentiating tuberculoma and other causes. Sometimes, MRI features are similar and usually not useful for differentiation. MR spectroscopy {MRS} helps to differentiate tuberculoma from other infective granulomas.