Lymphomatosis - abdominal and peritoneal

Discussion:

Extensive abdominal and peritoneal involvement of lymphoma, with retroperitoneal nodal disease, splenic lesions, peripancreatic/pancreatic lesions, and extensive peritoneal involvement with cocooning of the small bowel. There is partially imaged nodal and pleural disease in the chest. This patient had a longstanding history of relapsing follicular lymphoma, with pronounced worsening of disease in this examination. 

The appearance can overlap with peritoneal carcinomatosis, tuberculosis and peritoneal mesothelioma.

Ultrasound guided biopsy of the mesenteric mass can be safely performed for tissue biopsy. 

Companion case 1

Companion case 2

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