Idiopathic granulomatous mastitis is a rare chronic benign inflammatory mastopathy occurring mainly in young women. With a non-specific imagery, it is considered as a diagnosis by exclusion and has a challenging treatment. Histologically, it is characterized by the predominance of polynuclear neutrophils and the absence of caseous necrosis. The breast carcinoma is the main differential diagnosis at the clinical stage, and imagery plays an essential role in its diagnostic approach. Its treatment combines antibiotics, anti-inflammatories, corticosteroid therapy, and surgery. We report a 42-year-old woman who presented a breast lesion diagnosis as granulomatous mastitis based on magnetic resonance imaging, ultrasound, and histology examinations. She received a treatment with different drugs (antibiotics, anti-inflammatories). The outcome treatment was successful with a good healing of breast lesions.

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Tuberculosis (TB) isa major global public healthconcern. The extrapulmonary manifestations ofTB can bemisleading and challenging todiagnose.Thoracic cold abscessis a rare and unusualentity of TB.Itrepresents 1-5% of musculoskeletal localisations of TB and constitutes a differentialdiagnosiswithpyogenicabscess, slow-growingpathogens or walltumours. In endemic areas, anypainless progressive abscessshouldsuggest a tuberculosis infection. Despite the clear diagnostic contribution of molecularbiologywith the Xpert MTB/Rif, a positive culture on a sample of fluid or tissue remains the gold standard. The management of tuberculousthoracicabscessiscontroversial and the combination of standard chemotherapy and surgeryseems to be the mostappropriate. Hereinwe report a case of a cold thoracicabscess in a 35-year-old man with no previoushistory.