CTICasesHodgkin's Lymphoma
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Imaging findings
Initial radiograph showed extensive pulmonary parenchymal disease with large nodules and masses. CT confirmed large lung masses, some with blood vessels passing through them and patent small airways in their periphery, accompanied by extensive mediastinal lymph node enlargement, particularly in the left paratracheal region. A subsequent follow-up demonstrated progressive hilar and subcarinal lymph node enlargement and growth of the pulmonary lesions. An endobronchial lesion was also identified.
Key takeaways
Hodgkin's lymphoma can present with varied pulmonary manifestations, including large nodules and masses, along with significant mediastinal lymphadenopathy. Misleading pathology reports, such as those suggesting vasculitis, eosinophils, or "apob" from small biopsies, can delay diagnosis. It is crucial to correlate imaging findings with pathology, especially when biopsy results do not align with the clinical and radiological picture.
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