Just Another Patient With Chronic Back Pain

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Just Another Patient With Chronic Back Pain - Page #3

Lab Studies: CBC w/ diff: Normal <br>CMP: Normal <br>LDH: Normal Other Studies: MRI T-spine: <a href="CaseStudyImages/CS1JustAnotherPatien-625.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>Abnormal infiltrative marrow process involving T11-T12 with adjacent soft tissue concerning for primary bone malignancy. <br> <br>CT chest/abdomen/pelvis: <a href="CaseStudyImages/CS2CS1JustAnotherPat-625.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , <a href="CaseStudyImages/CS3CS2CS1JustAnother-625.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3CS2CS1JustAnot-625.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <br>Supraclavicular, mediastinal, and left retrocrural lymphadenopathy highly concerning for malignancy. Diffuse sclerosis of T11 vertebral body. Paraspinal soft tissue components with associated vertebral body erosion/lytic components. Extension into the bilateral neural foramina at T11-T12 and right neural foramina at T10-T11. <br> <br>PET/CT: <br>Hypermetabolic adenopathy extending from the bilateral supraclavicular and level 4 cervical lymph node stations inferiorly to the retrocrural region with associated tumoral infiltration of the T11-T12 vertebral columns and posterior elements with resultant sclerosis. <br> <br>Supraclavicular lymph node biopsy: <a href="CaseStudyImages/CS5CS4CS3CS2CS1JustA-625.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> <br>Nodular Sclerosis Hodgkin Lymphoma Consultations: Oncology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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