Hodgkin lymphoma with beaver tail liver

Case contributed by Safwat Mohammad Almoghazy
Diagnosis certain

Presentation

Known Hodgkin lymphoma.

Patient Data

Age: 35 years
Gender: Female

An elongated left liver lobe extends laterally to contact and surround the spleen.

Massive lymphadenopathy around the aorta consistent with known Hodgkin lymphoma.

Case Discussion

Beaver tail liver is an elongated left liver lobe that extends laterally to contact and surround the spleen (normal variant). This is also known as a sliver of liver and is a variant of hepatic morphology.

This variant is more common in females. The liver parenchyma is normal and thereby has the same risks of hepatic pathology as the rest of the liver except in trauma, where it is more prone to injury following trauma to the left upper quadrant or lower left chest.

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