Primary splenic lymphoma - non-Hodgkin lymphoma

Case contributed by Augusto César Vieira Teixeira
Diagnosis almost certain

Presentation

Patient with shortness of breath.

Patient Data

Age: 65 years
Gender: Male

Chest radiograph

x-ray

Chest x-ray demonstrates a massive left-sided pleural effusion with mediastinal shift to the right.

Large heterogeneous, predominantly hypoattenuating, and circumscribed mass in the spleen. It occupies the entire left abdomen associated with pleural effusion and right displacement of midline structures.

Case Discussion

Histopathology revealed a primary non-Hodgkin splenic lymphoma.​

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