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RADIOLOGY: ABDOMEN: Case# 33510: MAC WITH LOW DENSITY NODES. Left lower quadrant mass, abdominal pain. 1. Extensive adenopathy involving portocaval, aortocaval, left periaortic, mesenteric, perigastric and splenic hilar regions. A large, low attenuation mass is seen in the left lower quadrant which likely represents enlarged, necrotic nodes (measurements given above). In addition, multiple tiny parenchymal nodules are seen in the left lung base (the entire chest was not scanned). Given the history of MAC cultured from a supraclavicular node, extensive nodal enlargement may represent systemic MAC infection. However, lymphoma is also a consideration. 2. Spleen is at upper limits of normal, but no focal masses are seen. 3. Liver, pancreas, adrenal glands and kidneys are unremarkable.

Author

Peter Anderson

Posted on

Thursday 1 August 2013

Tags

abdomen, radiology

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• PEIR Radiology / Abdomen

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