Multifocal visceral lymphoma

Case contributed by Dr Andrew Dixon


Loss of weight and abdominal pain.

Patient Data

Age: 60 years
Gender: Male

CT Abdomen

Large hypoattenuating homogenous well-defined lesion in segment IVa of the liver measuring 5.3 x 6.0 cm. Large soft tissue-density mass in the pancreatic head / neck / body measuring 4.5 x 8.3 cm which surrounds the portal confluence without compression or invasion. No pancreatic or bile duct dilatation. Three small low density splenic lesions. Multiple subtle hypoattenuating regions in both kidneys, most noticeable in the right upper pole posteriorly. Several prominent retroperitoneal lymph nodes are also present. 

Case Discussion

The sites of visceral involvement in this case are unusual for most forms of metastatic disease and raise the possibility of non-Hodgkin's lymphoma


Biopsy was consistent with diffuse large B cell lymphoma.

PlayAdd to Share

Case information

rID: 16513
Published: 24th Jan 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.