PMC5429921_01
Pretreatment CT with contrast showing enlarged intra-abdominal nodes and splenomegaly.
CRIONM2017-5235163.001.jpg
PMC5429921_01_CRIONM2017-5235163.001.jpg
fig1
Tomography (CT) imaging was performed on his chest, abdomen, and pelvis with contrast which showed diffuse bulky adenopathy, marked splenomegaly with evidence of portal hypertension, moderate ascites, and bilateral pleural effusions (Figure 1). The initial management was directed at treating him for possible sepsis and he was placed on broad-spectrum empiric antibiotics which did not improve his symptoms and blood and urine cultures returned negative.
Posttreatment CT with contrast of the abdomen showing resolution of the enlarged intra-abdominal lymph nodes and reduction in splenic size.
CRIONM2017-5235163.002.jpg
PMC5429921_01_CRIONM2017-5235163.002.jpg
fig2
His posttreatment CT with contrast of the abdomen showed a marked reduction in the size of his enlarged intra-abdominal lymph nodes and splenic size (Figure 2).