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Trending Topics: Cardiac•Kidney•Uncategorized

Peri-aortic lymphoma seen on echocardiogram

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This image was obtained from the apical window of a patient with diffuse large B-cell lymphoma with peri-aortic involvement. Important thing to note here is that the aorta appears to be distanced from the heart and there is an unusual echogenic cushioning around it (= lymphoma). Below is the labeled image (it is similar to PLAX but obtained from the apex).
Example of normal location of aorta in similar view (image obtained from a patient with low EF)
Example of normal location of aorta in similar view (image obtained from a patient with low EF)
CT scan showed markedly enlarged left retrocrural lymph node or lymph node conglomerate measuring approximately 10.7 x 8.4 cm in the axial plane. The lymph node mass was encasing the aorta, extending superiorly into the mediastinum.

Below are more echo images, mostly atypical views obtained from 4th – 5th intercostal space.

R pleural effusion from lateral scan plane
R pleural effusion from lateral scan plane
Long/oblique axis of the aorta
Long/oblique axis of the aorta
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