CTICasesExtensive Lymphoma with Extrapleural Paraspinal Involvement
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Imaging findings
Extensive intrathoracic and extrathoracic lymph node enlargement. Subtle findings of lymphoid tissue growing in the extrapleural paraspinal space on both sides of the spine, lifting up intercostal vessels. Vertebral bodies appear normal.
Key takeaways
Extensive lymphoma (especially Non-Hodgkin's Lymphoma) can present with widespread lymph node enlargement and subtle extrapleural involvement, including paraspinal lymphoid tissue displacing intercostal vessels. Recognizing the effacement of the normal paravertebral line is a key radiographic clue for subtle paraspinal pathology.
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