Hodgkin's lymphoma x ray findings: Difference between revisions

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Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.
Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.
==X ray Findings==
==X ray Findings==
Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.<ref name=Radiopedia>{{cite web | title = Radiopedia Hodgkin lymphoma| url =http://radiopaedia.org/articles/hodgkin-lymphoma }}</ref>
Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.<ref name=radio1> Hodgkin lymphoma. Dr Amir Rezaee and Dr Yuranga Weerakkody et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/hodgkin-lymphoma-pulmonary-manifestations</ref> <ref name=radio2> Hodgkin lymphoma. Dr Henry Knipe and Asma J. Q. et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/hodgkin-lymphoma-musculoskeletal-manifestations</ref>
====Chest x ray====
====Chest x ray====
:* Pulmonary involvement usually indicates stage IV Hodgkin's lymphoma  
:* Pulmonary involvement usually indicates stage IV Hodgkin's lymphoma  
:* The mediastinal mass ratio can be determined by chest X-ray. A mediastinal mass ratio of greater than 0.33 is consistent with bulky disease.
:* The following findings on chest x ray may be suggestive of Hodgkin's lymphoma:
:* The following findings on chest x ray may be suggestive of Hodgkin's lymphoma:
::* Masses
::* Masses
::* Mass-like consolidation
::* Mass-like consolidation
::* Diffuse interstitial thickening
::* Diffuse [[interstitial]] thickening
::* Sternum may be involved
::* [[Sternum]] may be involved
::* Ribs may be osteolytic and expansile
::* [[Ribs]] may be osteolytic and expansile
::* Bilateral involvement is seen in ~4% of cases
::* [[Bilateral]] involvement is seen in ~4% of cases
::* Mediastinal nodal involvement (Primary disease)
::* [[Mediastinal]] nodal involvement (Primary disease)
::* Pulmonary parenchymal involvement (Recurrent disease)
::* [[Pulmonary]] parenchymal involvement (Recurrent disease)
::* Peribronchial infiltration may sometimes be observed
::* Peri bronchial infiltration may sometimes be observed
<gallery widths=200px>
Image:Hodgkin's_lymphoma_chest_X_ray.jpg|Chest x-ray demonstrates widening of the mediastinal outlines and widening of the right para tracheal stripe.<ref name=radio>Image courtesy of Dr Frank Gaillard [http://www.radiopaedia.org Radiopaedia](original file [http://radiopaedia.org/cases/hodgkin-lymphoma ‘’here’’]).[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>
Image:Hodgkin's_lymphoma_Lateral_view_Chest_X_ray_.jpg|Lateral projection confirms predominantly anterior mediastinal mass.<ref name=radio>Image courtesy of Dr Frank Gaillard [http://www.radiopaedia.org Radiopaedia](original file [http://radiopaedia.org/cases/hodgkin-lymphoma ‘’here’’]).[http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>
</gallery>
 
====Spine x ray====
====Spine x ray====
:* Erosion of anterior or anterolateral aspect of the vertebral body(ies) is a classic finding in Hodgkin's lymphoma , caused by enlarged paravertebral lymph nodes
:* Erosion of anterior or anterolateral aspect of the [[vertebral bodies]] is a classic finding in Hodgkin's lymphoma , caused by enlarged [[para vertebral]] lymph nodes
:* Nodular sclerosing Hodgkin's lymphoma shows diffusely increased density with our without anterior erosion; vertebral body height is unaffected  
:* Nodular sclerosing Hodgkin's lymphoma shows diffusely increased density with our without anterior erosion; vertebral body height is unaffected  
:* Single, dense vertebra (ivory vertebra) in adults  
:* Single, dense vertebra (ivory vertebra) in adults  
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:* Mixed or sclerosing type predominates
:* Mixed or sclerosing type predominates
====Long bones x ray====  
====Long bones x ray====  
:* Frequently lytic, extending along the long axis of bone through the medullary cavity with endosteal scalloping of the cortex
:* Frequently [[lytic]], extending along the long axis of bone through the medullary cavity with endosteal scalloping of the cortex


==References==
==References==
{{reflist|2}}
{{reflist|2}}
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Latest revision as of 22:13, 29 July 2020

Hodgkin's lymphoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sowminya Arikapudi, M.B,B.S. [2]

Overview

Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.

X ray Findings

Chest, spine, pelvic, and long bone x ray may be helpful in the diagnosis of Hodgkin's lymphoma.[1] [2]

Chest x ray

  • Pulmonary involvement usually indicates stage IV Hodgkin's lymphoma
  • The mediastinal mass ratio can be determined by chest X-ray. A mediastinal mass ratio of greater than 0.33 is consistent with bulky disease.
  • The following findings on chest x ray may be suggestive of Hodgkin's lymphoma:
  • Masses
  • Mass-like consolidation
  • Diffuse interstitial thickening
  • Sternum may be involved
  • Ribs may be osteolytic and expansile
  • Bilateral involvement is seen in ~4% of cases
  • Mediastinal nodal involvement (Primary disease)
  • Pulmonary parenchymal involvement (Recurrent disease)
  • Peri bronchial infiltration may sometimes be observed
  • Chest x-ray demonstrates widening of the mediastinal outlines and widening of the right para tracheal stripe.[3]
    Chest x-ray demonstrates widening of the mediastinal outlines and widening of the right para tracheal stripe.[3]
  • Lateral projection confirms predominantly anterior mediastinal mass.[3]
    Lateral projection confirms predominantly anterior mediastinal mass.[3]

Spine x ray

  • Erosion of anterior or anterolateral aspect of the vertebral bodies is a classic finding in Hodgkin's lymphoma , caused by enlarged para vertebral lymph nodes
  • Nodular sclerosing Hodgkin's lymphoma shows diffusely increased density with our without anterior erosion; vertebral body height is unaffected
  • Single, dense vertebra (ivory vertebra) in adults
  • Intervertebral disc spaces are generally unaffected by the disease

Pelvic x ray

  • Mixed or sclerosing type predominates

Long bones x ray

  • Frequently lytic, extending along the long axis of bone through the medullary cavity with endosteal scalloping of the cortex

References

  1. ↑ Hodgkin lymphoma. Dr Amir Rezaee and Dr Yuranga Weerakkody et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/hodgkin-lymphoma-pulmonary-manifestations
  2. ↑ Hodgkin lymphoma. Dr Henry Knipe and Asma J. Q. et al. Radiopaedia.org 2015. http://radiopaedia.org/articles/hodgkin-lymphoma-musculoskeletal-manifestations
  3. ↑ 3.0 3.1 Image courtesy of Dr Frank Gaillard Radiopaedia(original file ‘’here’’).Creative Commons BY-SA-NC


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