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

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.
CXR and CT of Hodgkins lymphoma with chest wall invasion
CXR PA and lateral shows a large lobulated mediastinal mass compressing and displacing the trachea to the right. Axial CT without contrast of the chest shows the mass to be in the anterior and middle mediastinum, compressing the left mainstem bronchus and eroding into the sternum and chest wall soft tissues.