Mycobacterium gordoniasis of the cervical lymph nodes: A case report

Figure 1 The pathological results of the right neck mass in the outside hospital. A: Indicating granulomas and multinucleated giant cells; B: Indicating coagulation necrosis.

Figure 2  The cervical sheath area occupying.

Figure 3 The results of superficial lymph node B-ultrasound. A: The subcutaneous muscle layer in the lower middle part of the right neck has low echo, with a size of approximately 18.9 mm × 5.9 mm, clear boundaries, and a regular shape; B: The hypoechoic nodule with a width of 2.2 mm and a length of approximately 16.6mm, extending towards the deep left side of the muscular layer; C: The multiple hypoechoic nodule in both neck regions, with clear boundaries and disappearance of cortical and medullary structures, approximately 0.89 mm × 0.55 mm on the left and 0.76 mm × 0.58 mm on the right.

Figure 4 The pathological results of the right neck mass in our hospital. A: Necrotic granuloma; B: Zeihl-Neelsen acid-fast stain.

Figure 5 The chest computed tomography lung window. A: Pulmonary window right upper lobe apex posterior segment nodule; B: Pulmonary window right upper lobe apex posterior segment stripe shadow.

Figure 6 The chest computed tomography mediastinal window. A: The density of lesions in the posterior segment of the right upper lobe of the mediastinal window is uneven, with calcified shadows visible in some areas; B: Enlargement and calcification of lymph nodes within the mediastinal window.

Figure 7 The bronchoscopy results. A: Tracheal carina; B: Left upper bronchus; C: Left lower bronchus; D: Having a main bronchus; E: Right middle bronchus; F: Right upper bronchus.