The patient presented to ENT causualty with a sore throat, foreign body sensation and fever not responding to antibiotics.
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Bilateral enlarged palatine tonsils measures on the left side about 2 x 1.8 cm.
Enlarged right level II cervical lymph node measures about 2 x 1.7 cm.
Prominent nasopharyngeal soft tissue with calcified focus within.
Incidentally noted right hypodense thyroid nodule measures about 2 x 1.5 cm.
This case is a pathologically proven case of non-Hodgkin lymphoma B cell type.
Non-Hodgkin lymphoma is more common than Hodgkin lymphoma, 60% originate in lymph nodes, 85% from B cell, 15% from T cells. Occurs in all age groups.