EURORAD ESR

Case 15671

An unusual case of spontaneous regression of stage IIIB lymphocytic predominant sclerosing Hodgkin's lymphoma.

Author(s)
J Todd MRCS, M Rahiminejad MD, M Elias FRCR, L DeSoysa FRCpath MRCP and S Muthu FRCR

Glan Clwyd Hospital; Rhuddlan Road LL18 5UJ Rhyl; Email:joanne_todd@hotmail.com
 
Patient
female, 53 year(s)
 
 
  • Figure 1
    USS right groin

    USS right groin : pathological enlarge lymph node with increased vascularity.

     
    Area of Interest: Lymph nodes; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Treatment effects; Special Focus: Lymphoma;
     
     
  • Figure 2
    USS abdominal mass

    TS USS showing para-aortic abdominal nodal mass

     
    Area of Interest: Lymph nodes; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 3
    CT ChestAbdomen Coronal

    CT Chest/abdomen coronal depicting nodal enlargement in the left mediastinum (green arrow) and para-aortic (red arrow) areas, and heterogeneous splenomegaly with several hypoattnuating foci suspicious of lymphomatous...

     
    Area of Interest: Haematologic; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 4
    CT chest axial

    CT chest axial soft tissue window depicting left paratracheal nodal enlargement (green arrow).

     
    Area of Interest: Haematologic; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 5
    CT Abdomen Axial soft tissue

    CT abdomen axial soft tissue showing gross splenomegaly(blue arrow) and large para-aortic nodal mass (red arrow).

     
    Area of Interest: Haematologic; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 6
    Ct pelvis axial soft tissue

    CT pelvis, axial soft tissue. Large right inguinal node (yellow arrow), previously identified on USS figure one.

     
    Area of Interest: Haematologic; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 7
    CT Chest Abdomen Sagittal soft tissue

    CT Chest and abdomen sagittal soft tissue. Showing gross nodal enlargement in the para-aortic region (red arrow).

     
    Area of Interest: Haematologic; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 8
    Whole body PET CT Coronal

    Whole Body PET CT Coronal. No areas of abnormal FDG uptake visible.

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 9
    Whole body PET axial Abdomen

    Whole Body PET CT Axial Abdomen. At the level of the previously identified abdominal nodal mass, no abnormal FDG uptake is identified.

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 10
    Whole body PET

    Whole body FDG PET. No areas of abnormal FDG uptake visible.

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
USS right groin : pathological enlarge lymph node with increased vascularity.
 
TS USS showing para-aortic abdominal nodal mass
 
CT Chest/abdomen coronal depicting nodal enlargement in the left mediastinum (green arrow) and para-aortic (red arrow) areas, and heterogeneous splenomegaly with several hypoattnuating foci suspicious of lymphomatous involvement (blue arrow).
 
CT chest axial soft tissue window depicting left paratracheal nodal enlargement (green arrow).
 
CT abdomen axial soft tissue showing gross splenomegaly(blue arrow) and large para-aortic nodal mass (red arrow).
 
CT pelvis, axial soft tissue. Large right inguinal node (yellow arrow), previously identified on USS figure one.
 
CT Chest and abdomen sagittal soft tissue. Showing gross nodal enlargement in the para-aortic region (red arrow).
 
Whole Body PET CT Coronal. No areas of abnormal FDG uptake visible.
 
Whole Body PET CT Axial Abdomen. At the level of the previously identified abdominal nodal mass, no abnormal FDG uptake is identified.
 
Whole body FDG PET. No areas of abnormal FDG uptake visible.
 
 
 
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