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Abdomen » Spleen
Lymphomatous involvement of the spleen
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 22-year-old man presents with axillary and supraclavicular adenopathy. An ultrasound of the abdomen was performed.
 
 
 
Caption: Sagittal scan of the spleen
Description: There is splenomegaly. Multiple hypoechoic areas of varying sizes are seen within the splenic parenchyma.
 
 
 
Caption: Sagittal scan of the spleen at a different level
Description: A large complex appearing lesion is seen within the spleen in this image.
 
 
 
Caption: Transverse scan of the spleen
Description: The largest complex lesion in the spleen is again seen here.
 
 
 
Caption: Color Doppler scan of the spleen
Description: One of the masses shows internal vascularity, indicating the solid nature of the mass. The larger complex lesion also has internal vascularity.
 
 
 
Caption: Color Doppler scan of the spleen
Description: Internal vascularity is noted in many of the splenic masses.
 
Differential Diagnosis Lymphomatous deposits, metastases, multiple abscesses, multiple hemangiomas
 
Final Diagnosis Lymphomatous involvement of the spleen
 
Follow Up This was proved to be Hodgkin’s lymphoma
 
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