? Lymphoma

This female in attached case below who had mediastinal widening on CXR, got her HRCT thorax done Referred her for surgeon/oncosugreon for Guided FNAC/expert opinion at highe centre Kindly shed some light on this case, check attached case below by scrolling down to the bottom

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Considering middle medistinal mass - most likely lymph node mass , retroperitoneal nodes and splenomegaly- most likely Diagnosis is in favour of lymphoma But D/D -,includes Tuberculosis Neutrogenic tumour ALL Further evaluation and confirmation of Diagnosis can be made by 1 Video- thoracoscopy 2 Trans bronchial needle aspiration cytology ( TBNA) 3.Fibre- optic bronchoscopy and broncho-,alveolar lavage

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Swelling in mediastinum with segmental lung collapse a/w retroperitoneal lymphadenopathy and splenomegaly D/d1ALL 2LYMPHOMA CHEST

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Swelling in mediastinal areawith segmentel Lung collapse a/Wretroperitoneal with lymphadenopathy and splenomegaly Lymphoma chest Ad chemotherapy & Radiotherapy

Agree@Dr. Pushker Bhomia Sir, @Dr. Shivraj Agarwal sir & @Dr. Sandeep Ghodekar Sir Ji @Dr. Parveen Yograj Sir Ji

NEED'S.. PULMONOLOGIST OPINION FOR FURTHER MANAGEMENT..

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Adv FOB BAL examination. Sos TBNA to conclude the diagnosis.

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HODGKIN'S LYMPHOMA rasavaha srotas dushti. .stage of the disease,the type of cells involved,and the general health of the patient. .immunomodulatory and rasayna therapy as adjuvant.

Refer to oncologist and pulmonologist

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Oncologist opinion

Chest physician and oncologist opinion..

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