CTICasesHodgkin's Lymphoma with Mediastinal and Pulmonary Involvement
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Imaging findings
Bulky, confluent lymphadenopathy was observed in the prevascular, paraortic, and AP window stations, predominantly affecting the anterior mediastinum, with additional bronchopulmonary and hilar lymphadenopathy. Lung windows showed a classic appearance of bilateral peribronchovascular dense nodular opacities with air bronchograms, without affecting the bronchovascular bundles. Post-treatment, the lesions showed significant resolution.
Key takeaways
This case presents a classic manifestation of Hodgkin's lymphoma, specifically with both extensive mediastinal lymphadenopathy and pulmonary involvement. Pulmonary involvement, seen in 15-17% of cases (most commonly in sclerosing type), typically appears as peribronchovascular nodular opacities and is generally very responsive to treatment.
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