PMC10235732_01
(a) Close view (b) Full mouth view, swelling in palate bilaterally
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A 31-year-old gentleman reported to the Department of Maxillofacial Surgery with swelling in the palate bilaterally since 1 month [Figure 1].
Proptosis of the left eye
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These symptoms were followed by the proptosis of left eye [Figure 2] and paresthesia of the left side of the face.
CECT Abdomen showing (a) Liver with hypodense, hypoenhancing lesion in right lobe in segment 8 in close contact with Inferior Venacava and cardiac base. (b) Hypodense enhancing lesion in uncinated process of pancreas extending to pancreatico-duodenal groove and multiple small hyperdense lesions in both kidneys
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A CECT Abdomen was done, which showed the presence of liver and pancreatic lesions with the possibility of lymphoma metastasis [Figure 3].
X-Ray of the right hand with multiple punched out lesions in 5th metacarpal
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For the swelling of the right hand, X-ray was taken; it appeared as multiple punched out lesion on the 5th metacarpal [Figure 4].
MRI of hand showing lesion around 5th metacarpal with inflammation of tissues around it. (a) Coronal view. (b) Transverse view
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Following this, an MRI of the right hand was also done which confirmed the presence of a lesion in the 5th metacarpal with inflammation around it [Figure 5]. computerized tomography of paranasal sinus indicated complete mucosal thickening in bilateral maxillary antrum with mucosal thickening extending to the right nasal cavity and choana.
CT PNS showing complete mucosal thickening in bilateral maxillary antrum extending to right nasal cavity and choana. Also, mucosal thickening involving maxillary ostia and ethmoidal infundibulum causing obstruction of bilateral osteo-meatal unit with widening and erosion on the right side
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Also, mucosal thickening involving maxillary ostia and ethmoidal infundibulum causing obstruction of the bilateral osteo-meatal unit with widening and erosion on right side [Figure 6].
Diagnostic nasal endoscopy depicting presence of lymphoid tissue in nasopharynx
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Following this, a diagnostic nasal endoscopy was performed, suggesting the presence of lymphoid tissue in the nasopharynx [Figure 7].
PET CT showing lymphoma metastasis before and after chemotherapy
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