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Hodgkin’s Lymphoma (nodular lymphocytic predominant)

USU Teaching File MUTF - MedPix

View Article: 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.


Multiple enlarged LN in right common iliac chain and extending to right common femoral chain
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MPX1077_synpic16768: Multiple enlarged LN in right common iliac chain and extending to right common femoral chain


Hodgkin’s Lymphoma (nodular lymphocytic predominant)

USU Teaching File MUTF - MedPix

Multiple enlarged LN in right common iliac chain and extending to right common femoral chain
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1077&req=5

MPX1077_synpic16768: Multiple enlarged LN in right common iliac chain and extending to right common femoral chain

View Article: 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.