Radiology (Diagnostic) Expert Forum
? Hodgkin's
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? Hodgkin's

My husband is showing signs of Hodgkin's, but it has not yet been DX, he had  a CT chest 2 weeks ago that was normal, however it did show 2 calcified lymp nodes in the chest.  he just started having chest pains off and on and i am afraid that the enlarged lymph nodes(?hodgkin's) is spreading into his chest now, he has a little more wheezing and cough seems a little more productive than what it was, we go to an ENT tomorrow to have a scope of some kind down to make sure his airway and throat are ok

any thoughts?  what does Hodgkins look like on a CT?
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301037_tn?1213868178
Possible abnormal findings on CT  include enlarged lymph nodes, hepatomegaly and/or splenomegaly (with or without focal parenchymal abnormalities), lung nodules or infiltrates, and pleural effusions. A mediastinal mass, representing mediastinal lymphadenopathy, is a common finding in classic Hodgkin disease. Calcification is per se uncommon in hodgkins.

In your case it is not clear why is hodgkins being suspected? does he have more more lymphnodes?

Histopathology/biopsy is diagnostic.
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395387_tn?1223006751
he has alot of SX, where do i start, thyroid nodules(neg for CA), difficulty swallowing, enlarged neck, wheezing, Flushing of the face, some slight chest pain RT side(feels like constant pinching) weakness and tingling in legs, abd pain, diarrhea.
some abn lab tests, he has calcium oxatate in his urine and crystals bacteria and casts(no signs of infection) trouble urinating.

Thyroid oncologist/surgeon thought maybe carcinoid tumor or syndrome - family dr does not think so.  we had CT of abd/pelvis that showed 2 osseous lesions in the pelvis 1 is sclerotic and the other is lucent and hypoattenuated w/ a sclerotic rim, RAD suggesting bone scan. and also showing prostatic calcifications. the CT was otherwise normal it also said no adenopathy pathologic findings seen due to CT size.

what does all of this mean?
is there a bone CA? metastatic disease from CA elsewhere?  please help me understand
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