PMC8473535_01
CT abdomen and pelvis with IV contrast showing enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum.
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CT abdomen/pelvis done 1 year ago (after he was involved in a motor vehicle accident) showed enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum with surrounding infiltrative changes (Figs. 1 and 2).
CT abdomen and pelvis with IV contrast showing enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum.
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CT abdomen/pelvis done 1 year ago (after he was involved in a motor vehicle accident) showed enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum with surrounding infiltrative changes (Figs. 1 and 2).
PET CT showing enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum.
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PET-CT demonstrated enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum without significant FDG uptake (Figs. 3 and 4).
PET CT showing enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum.
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PET-CT demonstrated enlarged low attenuation lymph nodes in the root of the mesentery and retroperitoneum without significant FDG uptake (Figs. 3 and 4).
small bowel biopsy showing villi infiltrated with macrophages.
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He was referred to Gastroenterology and underwent small bowel biopsy that showed extensive infiltration of lamina propria by foamy macrophages with resultant villous blunting, PAS positive diastase resistance within macrophages, negative GMS and acid-fast stain (Figs. 5 and 6).
small bowel biopsy showing PAS positive macrophages.
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He was referred to Gastroenterology and underwent small bowel biopsy that showed extensive infiltration of lamina propria by foamy macrophages with resultant villous blunting, PAS positive diastase resistance within macrophages, negative GMS and acid-fast stain (Figs. 5 and 6).