PMC4833871_01
B-mode ultrasonographic appearance of the hepatic lesion. A hyperechoic infiltrative pattern with a fine and homogenous structure is visible.
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F1
The abdominal ultrasonography revealed a widespread hepatomegaly with an infiltrative pattern (Fig. 1).
Electrocardiogram showing the 2nd-degree heart block.
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F2
The exam also evidenced an increase in the duration of the QRS complexes (0.1 sec.) with morphology within the normal values, suggestive of an advanced 2nd-degree AV block (Wagner, 2009) (Fig. 2).
(A) A nodular lymphoid infiltrate in the hepatic parenchyma (H&E, X20). (B) A nodular lymphoid infiltrate between the myocardial fibers (H&E, X20). (C) Lymphocytic infiltration in the connective tissue of the pericardium (H&E, X20).
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F3
A subsequent histological examination confirmed the diagnosis of hepatic lymphoma (Fig. 3A). Furthermore, lymphocytic infiltrations were also found within the pericardium, as per non-specific pericarditis (Fig. 3B, C).