The simultaneous presentation of the Hodgkin lymphoma and multiple myeloma in the absence of prior chemotherapy or radiation is very rare. Here, we discuss a 72-year-old patient who initially presented with generalized pruritis. Workup led to a diagnosis of multiple myeloma which progressed and required treatment. As part of his pretreatment workup, an MRI was performed to evaluate skeletal les...

Fig. 1. Maximum intensity projection PET images. Axial fused PET/CT images. (A) Initial study. Increased uptake of F-FDG (SUVmax 7.6) in the nodule located in the anterior segment, upper lobe of the left lung (1). Radiotracer uptake in subcarinal adenopathy (SUVmax 9.1) related to tumor involvement (2). Heterogeneous metabolic activity in the left pleura, more intense in the middle posterior re...

I. HODGKIN’S LYMPHOMA A. Presentation 1. Subjective. Classical Hodgkin’s disease or Hodgkin’s lymphoma (HL) usually presents as painless lymphadenopathy in the cervical and/or supraclavicular regions. Isolated subdiaphragmatic lymphadenopathy or organ involvement is rare. Although staging studies reveal mediastinal adenopathy in more than 85% of patients, symptoms of cough, chest pain, dyspnea,...

OBJECTIVES To review our results with elective superior mediastinal dissections for thyroid carcinomas. STUDY DESIGN Retrospective review. METHODS We searched operative case logs for all patients with thyroid carcinoma treated with an elective superior mediastinal dissection by the senior author (Y.D.) during a 6-year period. Charts were reviewed for demographic information and pathologic r...

Progressive dedifferentiation of thyroid cancer cells leads to a loss of iodine-concentrating ability, with resultant false negative, whole body radioactive iodine scans in approximately 20% of all differentiated metastatic thyroid cancer lesions. We tested the hypothesis that all metastatic thyroid cancer lesions that did not concentrate iodine, but did produce thyroglobulin (Tg), could be loc...

Sarcoidosis is a disease of unknown cause that is characterized by the presence of non-caseous granuloma. The diagnosis is made whenever this histological finding occurs in the absence of other known causes. of non-caseating granulomas and whenever compatible clinical and radiographic findings are present. The usual chest radiographic findings in sarcoidosis are (1) bilateral hilar and occasion...