PMC3738353_01
Abdominal US (para-sagittal view) at the diagnosis: multiple hepatic hypoechoic nodules (calipers). GB, gall bladder; IVC, inferior vena cava
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CA, USA) revealed mild hepatomegaly, multiple hypoechoic nodules up to 13 mm in diameter scattered throughout the liver and spleen (Fig. 1); slight wall thickening of the last ileal loop and ascending colon, and multiple enlarged mesenteric lymph nodes were also shown. Multidetector computed tomography (CT) of the abdomen was performed using 16-slice
CT of the abdomen: multiple rounded, low-density lesions in liver and spleen
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CT scan (LightSpeed, GE Healthcare, Milwaukee, WI, USA) with 5-mm slice thickness (reconstructed 2.5 mm) and low dose technique (80 kv, 50-90 mAs) after i.v. contrast medium administration. CT revealed multiple rounded, low-density lesions in the liver and spleen, ranging in size from 2 to 18 mm (Fig. 2); peripancreatic, periportal, para-aortic, and paracaval lymph nodes up to 15 mm in diameter with no calcification, and diffuse small bowel wall thickening were also shown. CT of the chest demonstrated small opacities in the right lower lobe and multiple enlarged lymph nodes in the hilar, paraesophageal, and paratracheal regions (Fig. 3).
CT of the chest: small opacities in the right lower lobe along the major fissure; enlarged lymph nodes in the hilar region (white arrow) and azygos-oesophageal lymph nodes (black arrow)
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CT scan (LightSpeed, GE Healthcare, Milwaukee, WI, USA) with 5-mm slice thickness (reconstructed 2.5 mm) and low dose technique (80 kv, 50-90 mAs) after i.v. contrast medium administration. CT revealed multiple rounded, low-density lesions in the liver and spleen, ranging in size from 2 to 18 mm (Fig. 2); peripancreatic, periportal, para-aortic, and paracaval lymph nodes up to 15 mm in diameter with no calcification, and diffuse small bowel wall thickening were also shown. CT of the chest demonstrated small opacities in the right lower lobe and multiple enlarged lymph nodes in the hilar, paraesophageal, and paratracheal regions (Fig. 3).
Abdominal US (axial view) after 9-month therapy: peripheral calcification of the liver lesions with posterior echo-shadows (arrow)
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Abdominal US revealed reduction in size and peripheral calcification of the hepatosplenic lesions (Fig. 4); abdominal lymph nodal groups were normal.