X-ray Case (7)

[Diagnostic]

A 23 year old woman presented with a golf ball sized lump in her left axilla. Clinical examination revealed the solitary finding of an enlarged left axillary lymph node. Blood tests showed a Hb of 10.6g/dl, CRP 73mg/l and ESR 28mm/first hour. White cell count and urea and electrolytes were normal. A fine needle aspirate was performed on the left axillary lymph node. This revealed only reactive lymphoid tissue. However, the patient subsequently complained of flu like symptoms, back pain and weight loss. The decision was taken to perform a lymph node excision biopsy, a CT scan and a bone scan. Questions: 1-What are the salient findings? 2-What is the likely diagnosis? 3-What is the differential diagnosis for the appearances on the abdominal scans? HINT: There are bilateral renal masses

[Yaxya]

1-What are the salient findings?
an enlarged left axillary lymph node,reactive lymphoid tissue,There are bilateral renal masses and the symtoms and signs of the patient like back pain and weight loss.
2-What is the likely diagnosis?
i think the most likely diagnosis is renal lymphoma.
3-What is the differential diagnosis for the appearances on the abdominal scans?
all causes of ranal masses should be excluded like,secondary metasteses,renal absecess,renal carcinomas

[Diagnostic]

Thanks yaxya, your answers are correct.

I am sorry if I am late