EURORAD ESR

Case 10693

Sarcoidosis-lymphoma syndrome

Author(s)
Santhosh Mauvva Venaktesh Reddy, Alan Denison

Aberdeen Royal Infirmary,
NHS Grampian,
Aberdeen AB25 2ZN;
Email:sunnymvu99@yahoo.co.in
 
Patient
female, 63 year(s)
 
 
  • Figure 1
    Chest CT on lung window

    Axial CT showing sarcoidosis with bilateral calcified hilar and mediastinal lymphadenopathy and lung parenchymal nodularity along bronchovascular bundles

     
    Area of Interest: Lung; Lymph nodes; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    PET-CT axial image

    Axial PET-CT image showing increased metabolic activity in the bilateral enlarged hilar lymph nodes with a SUV max value of 5.8g/ml.

     
    Area of Interest: Lymph nodes; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Radiobiology; Special Focus: Connective tissue disorders; Metabolic disorders; Tissue characterisation;
     
     
  • Figure 3
    Contrast enhanced axial CT abdomen

    Contrast enhanced axial CT abdomen showing a 4.2 cm para-aortic retroperitoneal soft tissue nodal mass

     
    Area of Interest: Abdomen; Lymph nodes; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Haematologic diseases; Lymphoma;
     
     
  • Figure 4
    Axial PET-CT image

    Axial PET-CT image showing very intense metabolic activity in the para-aortic nodal mass with SUV max value of 18 g/ml well above that of the hilar nodes ( SUV max 5.8 g/ml)

     
    Area of Interest: Abdomen; Lymph nodes; Nuclear medicine; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Lymphoma;
     
     
  • Figure 5
    PET-CT MIP image

    PET-CT coronal MIP image showing comparitively much more intense metabolic activity in the left para-aortic nodal mass than the low intense metabolic activity in the lungs, mediastinum and heart.

     
    Area of Interest: Lung; Lymph nodes; Nuclear medicine; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Connective tissue disorders; Haematologic diseases; Inflammation;
     
     
Axial CT showing sarcoidosis with bilateral calcified hilar and mediastinal lymphadenopathy and lung parenchymal nodularity along bronchovascular bundles
 
Axial PET-CT image showing increased metabolic activity in the bilateral enlarged hilar lymph nodes with a SUV max value of 5.8g/ml.
 
Contrast enhanced axial CT abdomen showing a 4.2 cm para-aortic retroperitoneal soft tissue nodal mass
 
Axial PET-CT image showing very intense metabolic activity in the para-aortic nodal mass with SUV max value of 18 g/ml well above that of the hilar nodes ( SUV max 5.8 g/ml)
 
PET-CT coronal MIP image showing comparitively much more intense metabolic activity in the left para-aortic nodal mass than the low intense metabolic activity in the lungs, mediastinum and heart.
 
 
 
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