CT - Abdomen
AXIAL THICK C+ portal venous phase
Coronal C+ portal venous phase
There is widespread lymph node enlargement within the abdomen, pelvis and inguinal region with the most prominent nodal enlargement seen around the porta hepatis and in the preaortic, para-aortic, common iliac and external iliac lymph node groups.
There is moderate hepatosplenomegaly with a craniocaudal length of the liver measuring 19.3 cm and the spleen measuring 16.2 cm. There is diffuse heterogeneous enhancement of the spleen. No focal liver lesions identified.
There is layering of hyperdense material within the gallbladder. The pancreas, kidneys and adrenals are normal in appearance. The bowel is unremarkable. No peritoneal free fluid or gas.
No suspicious osseous lesions.
Conclusion:
Widespread abdominal, pelvic and inguinal lymphadenopathy and moderate hepatosplenomegaly. In conjunction with the CT chest, appearances are consistent with sarcoidosis with lymphoma remaining a differential diagnosis.