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Case of the Week 579 
What is the most likely diagnosis?
- 32 year-old with fever and night sweats
Frontal and Lateral Chest Radiographs
- Achalasia
- Hodgkin Disease
- Metastatic Choriocarcinoma
- Histoplasmosis
- Sarcoid
Additional Image - Axial contrast-enhanced CT of the chest
Additional Images
Axial Contrast-enhanced CT of the Chest
Answer:
2. Hodgkin Disease
More (Click Discussion Tab)
Hodgkin Disease
General Considerations
- Half of patients with Hodgkin have mediastinal lymph node enlargement visible on chest x-ray.
- About 5-10% of patients may have mediastinal adenopathy without any other nodes involved
- Clinically, over 90% of patients with Hodgkin have enlarged nodes, the disease behaving most benignly when restricted to the neck
- Most have nodular sclerosing type
MORE . . .
.
This Week
32 year-old with fever and night sweats |
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
LearningRadiology
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
