Mediastinal Hodgkin lymphoma

Case contributed by Dr Abdallah Khateeb

Presentation

Young adult female presenting with shortness of breath. Recent weight loss was also reported.

Patient Data

Age: 30 years old
Gender: Female
X-ray

The CXR shows a large mediastinal opacity. A unilateral right sided pleural effusion is also seen (seen in 50%) with compression atelectasis and air bronchograms.

CT

Enhanced chest CT scan

Large confluent soft tissue mass with irregular borders at the superior and middle mediastinal compartments, with areas of internal low attenuation. None of the adjacent bronchovascular structures is grossly invaded by the mass.

The pleural effusion is seen here as well. There are alveolar infiltrates and areas of consolidation with air bronchograms in the right lung, mostly due to developing pneumonia.

Pericardial effusion is seen.

Case Discussion

Pathology diagnosis: Nodular sclerosing Hodgkins lymphoma.

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Case information

rID: 43313
Case created: 4th Mar 2016
Last edited: 12th Mar 2016
Inclusion in quiz mode: Included

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