Follicular lymphoma

Case contributed by A.Prof Frank Gaillard

Presentation

Shortness of breath.

Patient Data

Age: 50 years
Gender: Female

Chest X-ray

Modality: X-ray

CXR demonstrates a small to moderate left sided pleural effusion.

CT scan - one day later

Modality: CT

CT of the chest and abdomen demonstrating extensive lymph node enlargement, and confirming the pleural effusion.

Chest x-ray - 1 month later

Modality: X-ray

CXR demonstrates complete white-out of the right hemi-thorax. Note the bulging of the azygo-oesophageal recess towards the left, and shift of the mediastinum.

Case Discussion

This case elegantly illustrates a number of characteristic morhphology of lymphomatous nodes. In the upper abdomen they are seen to lift the aorta away from vertebral bodies. In the mesentary they encase the vessels, in the so-called sandwich sign

This patient went on to have a biopsy which revealed a follicular lymphoma. 

See article on lymphoma for further discussion. 

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Case Information

rID: 14266
Case created: 11th Jul 2011
Last edited: 13th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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