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Hodgkin’s Lymphoma (nodular lymphocytic predominant)
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Hodgkin’s Lymphoma (nodular lymphocytic predominant) History: 19 yo WM with h/o fatigue and exercise intolerance during basic training. W/U revealed microcytic anemia with heme positive stool. Pt was otherwise healthy with no significant PMHx. Findings: CT abdomen/pelvis: 1. 1 cm LLL lobulated nodule 2. 8 mm enhancing right hepatic lobe lesion 3. Questionable 2.5 cm soft tissue density in cecum which appears contiguous with wall 4. Multiple enlarged LN in right common iliac chain and extending to right common femoral chain Ddx: 1. Infection, inflammation, malignancy 2. Likely benign mass; hemangioma vs. adenoma, may be metastatic disease 3. Polyp, CA, feces 4. Lymphoma vs. metastatic disease Exam: PE: unremarkable except mild diffuse abdominal tenderness 11.1 MCV 65 Fe 5 7.7 >--------< 421 RDW 21 TIBC 289 34.7 retic 1.8% Fe Sat 1.7% ESR 54 BMP wnl No MeSH data available. |
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MPX1077_synpic16757: Questionable 2.5 cm soft tissue density in cecum which appears contiguous with wall |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Hodgkin’s Lymphoma (nodular lymphocytic predominant)
History: 19 yo WM with h/o fatigue and exercise intolerance during basic training. W/U revealed microcytic anemia with heme positive stool. Pt was otherwise healthy with no significant PMHx.
Findings: CT abdomen/pelvis: 1. 1 cm LLL lobulated nodule 2. 8 mm enhancing right hepatic lobe lesion 3. Questionable 2.5 cm soft tissue density in cecum which appears contiguous with wall 4. Multiple enlarged LN in right common iliac chain and extending to right common femoral chain
Ddx: 1. Infection, inflammation, malignancy 2. Likely benign mass; hemangioma vs. adenoma, may be metastatic disease 3. Polyp, CA, feces 4. Lymphoma vs. metastatic disease
Exam: PE: unremarkable except mild diffuse abdominal tenderness 11.1 MCV 65 Fe 5 7.7 >--------< 421 RDW 21 TIBC 289 34.7 retic 1.8% Fe Sat 1.7% ESR 54 BMP wnl
No MeSH data available.
