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Small Bowel Lymphoma - diffuse large B cell

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Small Bowel Lymphoma - diffuse large B cell

History: 48 year old male presents with LUQ pain and nausea for the past 4 months.

Findings: Digital Fluroscopic images demonstrate persistent separation of small bowel loops in the LUQ that are only minimally mobile with compression. CT of the abdomen demonstrates sig mesenteric adenopathy in a bed of fatty mesenteric panniculus and aneurismal dilitation of the small bowel CT/PET scan of the abd and pelvis demonstrates sig increase in uptake in the small bowel and mesentery indicating diffuse involvement. Rounded areas of sparing corresponsing to low density on CT are likely areas of necrosis.

Ddx: Infection Ischemia Edema Neoplasm - lymphoma - adenocarcinoma - metastatic disease

Dxhow: Tissue biopsy

Exam: nl physical exam and nl labs

No MeSH data available.


Scout image from a small bowel follow through shows loss of the normal mucosal fronds of the jejunum in the left upper quadrant associated with abnormal separtation of the bowel loops.
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MPX2458_synpic24144: Scout image from a small bowel follow through shows loss of the normal mucosal fronds of the jejunum in the left upper quadrant associated with abnormal separtation of the bowel loops.


Small Bowel Lymphoma - diffuse large B cell

Palacios III, MD RGPIM - MedPix

Scout image from a small bowel follow through shows loss of the normal mucosal fronds of the jejunum in the left upper quadrant associated with abnormal separtation of the bowel loops.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2458&req=5

MPX2458_synpic24144: Scout image from a small bowel follow through shows loss of the normal mucosal fronds of the jejunum in the left upper quadrant associated with abnormal separtation of the bowel loops.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Small Bowel Lymphoma - diffuse large B cell

History: 48 year old male presents with LUQ pain and nausea for the past 4 months.

Findings: Digital Fluroscopic images demonstrate persistent separation of small bowel loops in the LUQ that are only minimally mobile with compression. CT of the abdomen demonstrates sig mesenteric adenopathy in a bed of fatty mesenteric panniculus and aneurismal dilitation of the small bowel CT/PET scan of the abd and pelvis demonstrates sig increase in uptake in the small bowel and mesentery indicating diffuse involvement. Rounded areas of sparing corresponsing to low density on CT are likely areas of necrosis.

Ddx: Infection Ischemia Edema Neoplasm - lymphoma - adenocarcinoma - metastatic disease

Dxhow: Tissue biopsy

Exam: nl physical exam and nl labs

No MeSH data available.