A 62-year-old lady presented with bilateral granulomatous uveitis and cystoid macular edema. A diagnosis of ocular sarcoidosis was made (revised International Workshop on Ocular Sarcoidosis [IWOS] criteria) on the basis of lymphopenia, negative Mantoux, and QuantiFERON TB gold tests. Enlarged mediastinal lymph nodes, subpleural nodules, and nodular interstitial thickening were seen on high-resolution computed tomography (HRCT) thorax. Non-necrotizing granulomato us inflammation, negative for mycobacteria on staining and GeneXpert, was noted on endobronchial ultrasound-guided transbronchial lymph node aspiration (EBUS-TBNA). However, culture grew Mycobacterium fortuitum after 3 weeks. This case highlights a rare presentation of latent M. fortuitum infection presenting as ocular sarcoidosis, speculating the coexistence of two diseases in an individual, one possibly triggering the other.

Choroid plexus xanthogranulomas are rare tumors of the central nervous system. They are usually asymptomatic and are often reported as incidental autopsy findings. Although they are mostly asymptomatic, rarely, these tumors can result in obstructive hydrocephalus. The etiology of these tumors is often uncertain. They are also known as cholesterol granuloma and are typically composed of large foam-filled cells with clusters of lymphocytes and macrophages and multinucleated giant cells. The radiological features vary, owing to the heterogeneity of content. We hereby report the neuroimaging findings of choroid plexus xanthogranuloma, located in bilateral lateral ventricles, which was detected incidentally in a patient.