CASE 2- AIDS RELATED LYMPHOMA-CT OVERVIEW

AIDS RELATED LYMPHOMA- CT OVERVIEW

 

FINDINGS

1. LYMPH NODES-

•BULKY LARGE, SOFT TISSUE ATTENUATION WITH UNCOMMON NECROSIS •SIZE >3CM- TO D/D MYCOBACTERIA •ENCASEMENT OF VESSELS

2. GIT

•BULKY , FUNGATING MASSES •FOCAL/ CIRCUMFERENTIAL WALL THICKENING •WITH/ WITHOUT EXCAVATED MASSES •A/W EXTENSIVE LYMPHADENOPATHY

3. SOLID ORGANS- LIVER, SPLEEN, KIDNEYS

•FOCAL HYPOATTENUATING MASSES •INCREASE IN SIZE 4. PERITONEUM/OMENTUM- •THICKENING •NODULARITY •ASCITES

DISCUSSIONS- POINTS TO REMEMBER

•NON HODGKIN>>> HODGKIN •ATYPICAL, MORE AGGRESSIVE, POOR PROGNOSIS •EXTRANODAL DISEASE MORE COMMON THAN SEEN IN NORMAL INDIVIDUALS •NOT RELATED TO CD4 COUNT BUT SEEN IN MID /LATE PHASE