Secondary pulmonary lymphoma
Diagnosis almost certain
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Multiple bilateral pulmonary nodules, at least two demonstrating air bronchograms, but no clear cavitation. The larger demonstrate a subtle halo of ground glass. No consolidation. Pleural spaces clear. Bulky left axillary, mediastinal and hilar lymphadenopathy. No pericardial effusion.
Hepatosplenomegaly. At least two round low attenuation lesions are seen within the spleen, the largest in the inferior pole and bulging from the capsule. No liver lesions.
The pancreas, adrenal glands and kidneys are normal.
Retroperitoneal, mesenteric and pelvic lymphadenopathy.
No skeletal abnormality.
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Image CT (lung window) ( update )
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