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Retroperitoneum » Paraortic/Pericaval Disease
Retroperitoneal tuberculous lymphadenopathy
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Author(s) :
Vikas Arora, MD
 
Presentation A young man presents with history of low grade fever, malaise and abdominal pain. An ultrasound of the abdomen was performed.
 
 
 
Caption: Transverse view of the abdomen at the level of the pancreas
Description: Multiple small hypoechoic masses are seen in the peri-pancreatic and peri-aortic region. These most likely represent multiple lymph nodes.
 
 
 
Caption: Sagittal image of the mid-abdomen
Description: Multiple clusters of lymph nodes are identified in this image as indicated by the arrows.
 
 
 
Caption: Additional views of the abdomen
Description: Multiple discrete hypoechoic lymph nodes [N] are identified in this image.
 
 
 
Caption: Transverse color Doppler view
Description: No internal vascularity is noted in the lymph nodes.
 
Final Diagnosis Retroperitoneal lymphadenopathy due to tuberculosis.
 
Follow Up The diagnosis was proven on histopathology.
 
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