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Hamburger sign in patient with CLL

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

History withheld.

Patient Data

Age: Elderly

Numerous enlarged mesenteric lymphnodes are seen surrouding the mesenteric vessels, likened to the appearance of a hamburger, seen side on (nodes are the bread, vessels is the patty). It is also known as a sandwitch sign. 

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