File:Non-Hodgkin lymphoma involving seminal vesicles with development of interstitial pneumonitis during Rituximab therapy (Radiopaedia 32703-33762 A 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 32703
  • Image ID: 9515912
  • Plane projection: axial low dose CT pulmonary window
  • Study findings: Apical parts of lung with ground-glass opacities and sub pleural cystic changes. Posterior predominance with interspersed normal lung tissue. Coronal MinIP better depicts bronchiectasis, bronchiolectasis and subpleural changes. Moderate FDG-uptake in ground-glass opacities. FDG-uptake in accessory respiration muscles and crus diaphragmatica.
  • 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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