PMC6292348_01
Chest CT scan- Axial view: Normal parenchymal lung tissue without evidence of active chest disease or intrathoracic lymphadenopathy.
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Tomography (CT) scan of Chest (Figure 1). CT scan of Abdomen and Pelvis revealed hepatosplenomegaly with large retroperitoneal, retrocrural, and mesenteric lymphadenopathy (Figure 2(a,b)) which had an intense focal uptake on Gallium scan with no abnormal lung uptake (Figure 3). The presence of Monoclonal IgG along with hepatosplenomegaly and retroperitoneal lymphadenopathy, elevated
(a) Abdomen and pelvis CT scan: The liver is large measuring up to 24 cm (blue arrows). The spleen is large measuring 17.4 cm (red arrows), retrocrural lymphadenopathy (white arrows). (b) Abdomen and pelvis CT scan: Retroperitoneal lymph nodes (white arrows).
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Tomography (CT) scan of Chest (Figure 1). CT scan of Abdomen and Pelvis revealed hepatosplenomegaly with large retroperitoneal, retrocrural, and mesenteric lymphadenopathy (Figure 2(a,b)) which had an intense focal uptake on Gallium scan with no abnormal lung uptake (Figure 3). The presence of Monoclonal IgG along with hepatosplenomegaly and retroperitoneal lymphadenopathy, elevated
Gallium scan: Large region of intense focal uptake midline abdomen compatible with mesenteric (blue arrows) and retroperitoneal lymphadenopathy (white arrows). No abnormal lung uptake is seen.
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Tomography (CT) scan of Chest (Figure 1). CT scan of Abdomen and Pelvis revealed hepatosplenomegaly with large retroperitoneal, retrocrural, and mesenteric lymphadenopathy (Figure 2(a,b)) which had an intense focal uptake on Gallium scan with no abnormal lung uptake (Figure 3). The presence of Monoclonal IgG along with hepatosplenomegaly and retroperitoneal lymphadenopathy, elevated
Lymph node biopsy: (hematoxylin and eosin stain) lymphohistiocytic infiltrate (red arrows).
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A subsequent biopsy of the lymph nodes showed fragments of fibrous tissue with lymphohistiocytic infiltrate (Figure 4) and many acid-fast bacilli on special stain (Figure 5).
Lymph node biopsy: Many acid-fast bacilli (blue arrows).
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A subsequent biopsy of the lymph nodes showed fragments of fibrous tissue with lymphohistiocytic infiltrate (Figure 4) and many acid-fast bacilli on special stain (Figure 5).