Limits...
Stage IVB Non-Hodgkin’s lymphoma (Pre B-cell variety) diagnosed by biopsy

Patterson RAP - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Stage IVB Non-Hodgkin’s lymphoma (Pre B-cell variety) diagnosed by biopsy

History: 15 year old male with two months of progressive swelling over left chest, under left axilla, and left neck. The patient has also had an unintentional 10 lb weight loss over the past six months. Denies F/C/NS

Findings: On the contrast CT of the chest there is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla. It is not attached to any surrounding structures and has the density of surrounding soft tissue. The mass appears to be a conglomeration of multiple enlarged lymph nodes. These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure. There appears to be a mass effect that is compressing the chest wall The contrast CT of the abdomen shows hepatosplenomegaly with multiple densities seen in the spleen and a large density also visible in the liver. There may also be enlarged para-aortic lymph nodes but it hard to determine from this image.

Ddx: Infectious – TB, reactive lymphadenitis, fungal Neoplastic – Lymphoma, soft tissue tumor, liposarcoma, metastatic disease

Dxhow: Biopsy

Exam: Chest: Diffuse solid tissue discrete from underlying muscle layer over left pectoralis muscle that continues under left axilla and over left shoulder and neck. There is no color change to the skin. The area is non-tender and non-mobile. Lungs are CTAB Ext: DTRs and distal pulses are normal and equal bilaterally in the UEs. Full ROM, strength normal and equal bilaterally in UEs CV: RRR with no M/R/Gs Abd: Soft NT/ND with +abs

No MeSH data available.


On the contrast CT of the chestthere is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla.  It is not attached to any surrounding structures and has the density of surrounding soft tissue.  The mass appears to be a conglomeration of multiple enlarged lymph nodes.  These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure.  There appears to be a mass effect that is compressing the chest wall
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1194&req=5

MPX1194_synpic24336: On the contrast CT of the chestthere is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla. It is not attached to any surrounding structures and has the density of surrounding soft tissue. The mass appears to be a conglomeration of multiple enlarged lymph nodes. These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure. There appears to be a mass effect that is compressing the chest wall


Stage IVB Non-Hodgkin’s lymphoma (Pre B-cell variety) diagnosed by biopsy

Patterson RAP - MedPix

On the contrast CT of the chestthere is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla.  It is not attached to any surrounding structures and has the density of surrounding soft tissue.  The mass appears to be a conglomeration of multiple enlarged lymph nodes.  These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure.  There appears to be a mass effect that is compressing the chest wall
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1194&req=5

MPX1194_synpic24336: On the contrast CT of the chestthere is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla. It is not attached to any surrounding structures and has the density of surrounding soft tissue. The mass appears to be a conglomeration of multiple enlarged lymph nodes. These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure. There appears to be a mass effect that is compressing the chest wall

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Stage IVB Non-Hodgkin’s lymphoma (Pre B-cell variety) diagnosed by biopsy

History: 15 year old male with two months of progressive swelling over left chest, under left axilla, and left neck. The patient has also had an unintentional 10 lb weight loss over the past six months. Denies F/C/NS

Findings: On the contrast CT of the chest there is a large mass that is beneath and discrete from the pectoralis muscle layer of the chest that stretches from the left pectoralis muscle under the left axilla. It is not attached to any surrounding structures and has the density of surrounding soft tissue. The mass appears to be a conglomeration of multiple enlarged lymph nodes. These nodes are discrete from surrounding structures and do not appear to be invading any surrounding structure. There appears to be a mass effect that is compressing the chest wall The contrast CT of the abdomen shows hepatosplenomegaly with multiple densities seen in the spleen and a large density also visible in the liver. There may also be enlarged para-aortic lymph nodes but it hard to determine from this image.

Ddx: Infectious – TB, reactive lymphadenitis, fungal Neoplastic – Lymphoma, soft tissue tumor, liposarcoma, metastatic disease

Dxhow: Biopsy

Exam: Chest: Diffuse solid tissue discrete from underlying muscle layer over left pectoralis muscle that continues under left axilla and over left shoulder and neck. There is no color change to the skin. The area is non-tender and non-mobile. Lungs are CTAB Ext: DTRs and distal pulses are normal and equal bilaterally in the UEs. Full ROM, strength normal and equal bilaterally in UEs CV: RRR with no M/R/Gs Abd: Soft NT/ND with +abs

No MeSH data available.