Hodgkins Lymphoma

  • Etiology: malignancy arising from lymphocytes or lymphoblasts
  • Clinical: at presentation can cause airway compression / superior vena cava syndrome, 33% present with anterior or middle mediastinal mass, 5% have chest wall invasion, 10% have lung involvement

Cases of Hodgkins Lymphoma

CT of Hodgkins lymphoma
Axial CT without contrast of the chest shows an anterior mediastinal mass compressing the airway leading to left lower lobe atelectasis and eroding the sternum with periosteal reaction.
CXR and CT of Hodgkins lymphoma
CXR and CT with contrast of the chest shows a large, heterogeneous, primarily middle mediastinal mass causing airway compression and a small right pleural effusion.
CXR and CT of Hodgkins lymphoma
CXR shows diffuse narrowing of the trachea due to infiltrative adenopathy shown on the axial CT without contrast of the chest.