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Nodular fasciitis mimicking recurrent lymphoma on positron emission tomography–computed tomography

Qiao Zhou, MD, Daniel Young, MD, Harlan Vingan, MD

Radiology Case Reports · 2016

doi:10.1016/j.radcr.2016.02.003 (opens in a new tab)

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Abstract

20 year old female with no prior medical history presents with diffuse cervical lymphadenopathy. CT and subsequent positron emission tomography–computed tomography (PET/CT) demonstrated diffuse lymphatomous involvement of multiple lymph nodes in the neck, mediastinum, and retroperitoneum. The patient underwent ABVD therapy which resulted in the lymphoma being in remission for 2 years. The patient had a repeat PET/CT done after 2 years due to complaints of recurrent lymphadenopathy. The PET/CT revealed a new hypermetabolic focus by the right femur. MRI demonstrated an enhancing nodule in that region which raised suspicion for possible site of lymphoma recurrence. Percutaneous biopsy showed nodular fasciitis.

Abstract licence: CC BY-NC-ND

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