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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.


There is loss of the normal mucosal patterns and abnormal separation of the bowel loops better evaluated on the real time fluroscopic images.
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MPX2458_synpic24146: There is loss of the normal mucosal patterns and abnormal separation of the bowel loops better evaluated on the real time fluroscopic images.


Small Bowel Lymphoma - diffuse large B cell

Palacios III, MD RGPIM - MedPix

There is loss of the normal mucosal patterns and abnormal separation of the bowel loops better evaluated on the real time fluroscopic images.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2458_synpic24146: There is loss of the normal mucosal patterns and abnormal separation of the bowel loops better evaluated on the real time fluroscopic images.

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.