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Extensive conglomerate para-aortic low attenuation lymph node mass. Bulk dimensions 8 x 7cm.
The solid organs are unremarkable.
No small or large bowel abnormality.
Minor upper abdominal ascites.
Small left sided pleural effusion.
Comment: Extensive para-aortic lymphadenopathy. Differential is lymphoma, metastatic and less likely TB.
CT chest advised and clinical review of neck to established if any superficial site for tissue biopsy.
If not, CT guided para-aortic nodal biopsy is feasible