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Classical Hodgkin Lymphoma

Imaging findings

Chest radiograph and CT in a 16-year-old female show symmetric mediastinal, right paratracheal, AP window, and subcarinal lymphadenopathy. Thymic enlargement and a firm cervical lymph node are also present.

Key takeaways

Classical Hodgkin lymphoma typically presents in teenagers or young adults with progressive, contiguous lymphadenopathy. Although symmetric hilar and mediastinal adenopathy can mimic sarcoidosis, Hodgkin lymphoma commonly involves the anterior mediastinum/thymus and spreads predictably to the cervical stations.

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