Hodgkin's lymphoma x ray findings
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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 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
- 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)
- 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
- 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