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CASE REPORT Renal Lymphoma: MR Appearance With Diffusion-Weighted Imaging Dustin D. Nguyen, DO and Dmitry Rakita, MD were interpreted as representing renal lymphoma. There was diffuse Abstract: Imaging of renal lymphoma on magnetic resonance imaging vertebral body bone marrow signal abnormality on the ADC and and diffusion-weighted imaging is not well documented in the literature. DWI sequences as well, consistent with lymphoma infiltration. We present a case of renal lymphoma in a 61-year-old patient with computed The patient was subsequently treated with chemotherapy. tomography and magnetic resonance imaging correlation. The lymphoma- tous lesions demonstrate mild enhancement and restricted diffusion. Dif- ferential considerations for hypoenhancing masses include papillary or DISCUSSION chromophobe renal cell carcinoma, lymphoma, urothelial tumor, or metas- Lymphoma is classically categorized into non-Hodgkin or tasis, all of which have different management pathways. Apparent dif- Hodgkin lymphoma. The reticuloendothelial and hematopoietic fusion coefficient values can be obtained using diffusion-weighted system is the most common organ system affected by lymphoma, imaging, and may be useful in identifying focal renal lesions, especially followed by the genitourinary system. Within the genitourinary on noncontrast imaging. Apparent diffusion coefficient values may be system, the organs involved, from the most to least frequent, are helpful
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Sep 1, 2013
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