Hodgkin's lymphoma x ray findings

Hodgkin's lymphoma Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Hodgkin's lymphoma from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
Staging
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray Findings
CT
MRI
Ultrasound
Biopsy
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Hodgkin's lymphoma x ray findings On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Hodgkin's lymphoma x ray findings All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Hodgkin's lymphoma x ray findings
CDC on Hodgkin's lymphoma x ray findings
Hodgkin's lymphoma x ray findings in the news
Blogs on Hodgkin's lymphoma x ray findings
Directions to Hospitals Treating Hodgkin's lymphoma
Risk calculators and risk factors for Hodgkin's lymphoma x ray findings

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 bones x ray may be helpful in the diagnosis of Hodgkin's lymphoma.

X ray Findings

Chest x ray

• Pulmonary involvement usually indicates stage IV Hodgkin's lymphoma
• The following findings on chest x ray may be suggestive of Hodgkin's lymphoma:

• Masses
• Sternum may be involved

• Mass-like consolidation
• Diffuse interstitial thickening
• Ribs may be osteolytic and expansile
• Bilateral involvement is seen in ~4% of cases
• Mediastinal nodal involvement (Primary disease)

• Pulmonary parenchymal involvement (Recurrent disease)
• Peribronchial infiltration may sometimes be observed

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
• 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 is suggestive of Hodgkin's lymphoma, however, it has many other causes
• 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

Template:WikiDoc Sources