Extra-axial tuberculoma mimicking brain tumor on MRI: A rare case in an immunocompetent adult

Mass-like extra-axial tuberculoma is rare and can be a diagnostic challenge because it mimics a brain tumor on magnetic resonance imaging (MRI). This highlights the critical need for thorough and detailed imaging analysis to differentiate between these conditions accurately. We report a rare case of an extra-axial tuberculoma in a 26-year-old immunocompetent male presenting with worsening headaches. Neuroimaging showed an extra-axial mass in the right temporal region, exhibiting features suggestive of a neoplastic process. After surgical removal and histopathological analysis, the lesion was confirmed to be a tuberculoma. This case emphasizes the importance of considering extra-axial tuberculoma in the differential diagnosis of extra-axial masses in endemic regions. Early detection and proper treatment are crucial for favorable outcomes. Increased awareness among clinicians and radiologists is necessary to ensure timely intervention and prevent misdiagnosis.