A 12 year old NM DLH with a history of decreased appetite was presented for vomiting and lethargic. On CBC leukocytosis and severe eosinophilia was present whereas serum biochemistry was within normal limits.
A 12 year old NM DLH with a history of decreased appetite was presented for vomiting and lethargic. On CBC leukocytosis and severe eosinophilia was present whereas serum biochemistry was within normal limits.
Case Study
11-00011 Stanley M Suspect lymphoma —-NEEDS OF, C—–
Sonographic Differential Diagnosis
This is highly suggestive for infiltrative disease such as mast cell disease, lymphoma or minor potential for granulomatous disease and hyper-eosinophilic syndrome. The lesions of the intestinal tract and lymph node are non resectable.
Image Interpretation
The gastrointestinal tract presented infiltrative distal small intestinal mass that measured 1.5 cm in width with variable infiltrative pattern. Minor omental reactivity was noted. The remainder of the intestinal tract appeared to have a prominent muscularis. This is highly suggestive for infiltrative disease such as lymphoma or mast cell disease. Large mesenteric root lymph node masses were noted with loss of structural detail. The largest lymph node measured 5 x 2.4 cm.
DX
Suspect lymphoma
Outcome
No further outcome was noted.
Comments
May need to change DX if pre or post mortem sampling is/was performed. F
Clinical Differential Diagnosis
GI tract – Neoplasia (lymphoma, mastocytoma), IBD, parasitic infection, granulomatous disease, foreign body obstruction. Pancreas – neoplasia, granulomatous disease, pancreatitis. Hyper-eosinophilic syndrome. Systemic mastocytosis.
Sampling
None
Video
Patient Information
Type of Imaging : Ultrasound
Images
