File:Non-Hodgkin lymphoma involving seminal vesicles with development of interstitial pneumonitis during Rituximab therapy (Radiopaedia 32703-33753 A 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 32703
  • Image ID: 9502754
  • Plane projection: PET axial CT pulmonary window fused
  • Study findings: Axial PET and fused images depict hyper metabolic ground glass opacities, mostly resembling infectious disease. Coronal PET images depict residual activity in some of the mediastinal lymph nodes, less FDG-avid than at baseline, visually equaling hepatic uptake i.e. Deauville 3. Diffuse bone marrow uptake compatible with drug-induced bone marrow changes is best depicted on the MIP.
  • Modality: Annotated image
  • System: Haematology
  • Findings: Enlarged and vividly FDG-enhancing seminal vesicles and appendix. FDG-avid infra- and supradiaphragmal lymphadenopathy is also noted, as well as predominantly nodular pulmonary involvement. Bilateral mild pleural effusion. No evidence of hepatic, splenic or bone marrow involvement. Incidental note is made of a gallstone in infundibulum, duodenal diverticulum, simple hepatic and renal cysts, a sub-cm lesion in the left hepatic lobe, mostly resembling hemangioma, and an umbilical hernia. Conclusion The overall imaging appearances with hyper metabolic involvement of nodal and extra nodal sites and the homogenously contrast-enhancing, but neither invasive nor vascular lesions are highly suggestive of malignant lymphoma.
Date Published: 19th Dec 2014
Source https://radiopaedia.org/cases/non-hodgkin-lymphoma-involving-seminal-vesicles-with-development-of-interstitial-pneumonitis-during-rituximab-therapy-1
Author René Pfleger
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current08:03, 11 August 2021Thumbnail for version as of 08:03, 11 August 20214,900 × 2,596 (960 KB) (talk | contribs)Radiopaedia project rID:32703 (thread B) (batch #25631-1 A1)

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