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Retroperitoneum » Paraortic/Pericaval Disease
Retroperitoneal lymphadenopathy from carcinoma of the uterus
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Author(s) :
Chaitali Shah, FRCR
 
Presentation This is an abdominal scan in a woman with history of uterine cancer, status post hysterectomy and radiation.
 
 
 
Caption: Transverse scan of mid-abdomen
Description: There is aorto-caval adenopathy noted at the level of the left renal vein. The lymphnodes are visually seperable and are seen anterior to the aorta.
 
 
 
Caption: Transverse scan of the lower abdomen
Description: There is para-aortic adenopathy noted. The lymph nodes have an abnormal morphology and are seen encasing the aorta partially. The aorta is displaced anteriorly away from the spine.
 
 
 
Caption: Sagittal scan of the upper abdomen
Description: An enlarged abnormal appearing lymph node is seen near the porta hepatis.
 
 
 
Caption: Sagittal scan of the aorta
Description: The abnormal lymphadenopathy in the peri-aortic region, encasing the aorta partially is well appreciated in this image. The nodes displace the aorta anteriorly away from the spine.
 
 
 
Caption: Transverse color Doppler scan
Description: The rounded aorto-caval lymph node seen at the level of the renal vein demonstrates no vascularity.
 
Differential Diagnosis Retroperitoneal lymphadenopathy
 
Final Diagnosis Retroperitoneal lymphadenopathy from carcinoma of the uterus
 
Follow Up A CT scan was performed which confirmed the ultrasound findings.
 
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