Presentation
Insidious onset back ache. Ultrasound revealed multiple abdominal lymph nodes.
Patient Data
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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Multiple enlarged discrete lymph nodes are seen in porta hepatis, celiac axis, mesenteric root, para-aortic, aortocaval and paracaval stations. They enhance mildly, appear to encase vessels without much displacement. Preserved perilymph node fat planes. No other abdominal solid visceral lesions.
Case Discussion
Insidious onset backache is the typical presentation of Non-Hodgkin lymphoma in a young patient. Ultrasound initially picks up the abdominal lymphadenopathy which is later on confirmed with a contrast-enhanced CT scan and biopsy. The typical non-invasive nature of lymph node growth distinguishes it from other neoplastic etiologies.