Radiology Case Reports (Jun 2016)

Nodular fasciitis mimicking recurrent lymphoma on positron emission tomography–computed tomography

  • Qiao Zhou, MD,
  • Daniel Young, MD,
  • Harlan Vingan, MD

DOI
https://doi.org/10.1016/j.radcr.2016.02.003
Journal volume & issue
Vol. 11, no. 2
pp. 110 – 112

Abstract

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20 year old female with no prior medical history presents with diffuse cervical lymphadenopathy. CT and subsequent positron emission tomography–computed tomography (PET/CT) demonstrated diffuse lymphatomous involvement of multiple lymph nodes in the neck, mediastinum, and retroperitoneum. The patient underwent ABVD therapy which resulted in the lymphoma being in remission for 2 years. The patient had a repeat PET/CT done after 2 years due to complaints of recurrent lymphadenopathy. The PET/CT revealed a new hypermetabolic focus by the right femur. MRI demonstrated an enhancing nodule in that region which raised suspicion for possible site of lymphoma recurrence. Percutaneous biopsy showed nodular fasciitis.

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