Work

Another starry sky pattern – A radiopathological diagnosis of primary hepatic lymphoma

Year: 2024

Type: article

Abstract: We present an interesting case of an elderly malepresenting with pyrexia of unknown origin in whom theimaging findings had a peculiar and characteristic rareappearance simulating a classic pathological diagnosis.On clinical examination patient had hepatomegaly.Biochemical evaluation showed raised bilirubin andalkaline phosphatase (ALP). On ultrasound (USG) imagingthe provisional diagnosis was metastasis as evidenced byhepatomegaly with diffuse inhomogeneous echotextureof liver. The lesions were hypoechoic with no posterioracoustic enhancement [Figure 1A]. Computed Tomography(CT) showed hepatomegaly with diffuse heterogeneousattenuation and multiple small hypodense areas. The lesionsin arterial and portal phase appeared hypoattenuating withno early contrast enhancement. Delayed contrast enhancedsections of liver showed persistent hypoattenuating nodules.

Source: Panacea Journal of Medical Sciences

DOI: 10.18231/j.pjms.2024.164

Authors: Santosh Rai P V, Veginati Sai Phani, Amanda Christina Pinto, B Vishwanath Tantry

Institutions: Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Kasturba Medical College, Mangalore

Language: English

Topic: Lymphoma Diagnosis and Treatment

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $48