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Lymphoma with vertebral involvement

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

Known case of Hodgkin lymphoma with history of left psoas muscle abscess 2-year ago complain of low back pain.

Patient Data

Age: 30 years
Gender: Male

CT reveals densely sclerotic destruction of the vertebrae (Ivory vertebrae) associated with a heterogenous infiltrative mass in left psoas muscle and stranding in surrounding fat. There is also a small amount of ascites and absence of spleen (splenectomy performed 2-year ago). 

Case Discussion

Path proven: Hodgkin disease (mixed cellularity type).

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