Lethargy and weight loss.
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Extensive bilateral mediastinal lymphadenopathy, with marked widening of both paratracheal spaces extending from the apices to the base of the thoracic cavity.
The lungs are clear.
Normal appearances of the bony thorax.
Profound mediastinal lymphadenopathy in a young patient.
This was a biopsy proven Hodgkin lymphoma, which responded well to chemotherapy.