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Hodgkin's Lymphoma, Nodular Sclerosing Subtype

Storm ESS - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hodgkin's Lymphoma, Nodular Sclerosing Subtype

History: Progressive dyspnea and decreased exercise tolerance.

Findings: The initial exam was the V/Q scan, which suggested a central, probably mediastinal mass-effect. Subsequent CXR demonstrates a large anterior mediastinal mass, extending into the right hemithorax. CT confirms the mass, which is in the anterior mediastinum, displacing the SVC anteriorly.

Ddx: -Teratoma -Lymphoma (Hodgkin's vs Non-H) -Thymoma -Metastatic disease

Dxhow: Bronchoscopic biopsy.

Exam: Not available.

No MeSH data available.


Multiple planar scintigrams from a Tc99m-MAA perfusion study.  Note the nonsegmental perfusion defect predominantly involving the superomedial aspect of the right lung, but with some involvement of the medial aspect of the left lung as well.  This corresponds to (but is more extensive than) the ventilation phase defects, resulting in a partially unmatched (but non-segmental) pattern.  This suggests a mass-effect.
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MPX1204_synpic26660: Multiple planar scintigrams from a Tc99m-MAA perfusion study. Note the nonsegmental perfusion defect predominantly involving the superomedial aspect of the right lung, but with some involvement of the medial aspect of the left lung as well. This corresponds to (but is more extensive than) the ventilation phase defects, resulting in a partially unmatched (but non-segmental) pattern. This suggests a mass-effect.


Hodgkin's Lymphoma, Nodular Sclerosing Subtype

Storm ESS - MedPix (2005)

Multiple planar scintigrams from a Tc99m-MAA perfusion study.  Note the nonsegmental perfusion defect predominantly involving the superomedial aspect of the right lung, but with some involvement of the medial aspect of the left lung as well.  This corresponds to (but is more extensive than) the ventilation phase defects, resulting in a partially unmatched (but non-segmental) pattern.  This suggests a mass-effect.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1204&req=5

MPX1204_synpic26660: Multiple planar scintigrams from a Tc99m-MAA perfusion study. Note the nonsegmental perfusion defect predominantly involving the superomedial aspect of the right lung, but with some involvement of the medial aspect of the left lung as well. This corresponds to (but is more extensive than) the ventilation phase defects, resulting in a partially unmatched (but non-segmental) pattern. This suggests a mass-effect.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hodgkin's Lymphoma, Nodular Sclerosing Subtype

History: Progressive dyspnea and decreased exercise tolerance.

Findings: The initial exam was the V/Q scan, which suggested a central, probably mediastinal mass-effect. Subsequent CXR demonstrates a large anterior mediastinal mass, extending into the right hemithorax. CT confirms the mass, which is in the anterior mediastinum, displacing the SVC anteriorly.

Ddx: -Teratoma -Lymphoma (Hodgkin's vs Non-H) -Thymoma -Metastatic disease

Dxhow: Bronchoscopic biopsy.

Exam: Not available.

No MeSH data available.