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Diffuse cavitary lung lesions

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Abstract

An 11-year-old girl presented with a 2-month history of progressively worsening cough, daily fevers, and weight loss. A chest radiograph revealed multiple cystic cavitary lung lesions. An extensive infectious work-up was negative. Chest CT verified multiple cavitary lung lesions bilaterally, and [F-18]2-fluoro-2-deoxy-D-glucose (18F-FDG) positron emission tomography with CT (PET/CT) showed increased uptake in the lung lesions as well as regional lymph nodes. Subsequent biopsy of an involved lymph node confirmed classical Hodgkin lymphoma, nodular sclerosis type. This case represents an unusual presentation for a child with Hodgkin lymphoma and demonstrates a role for 18F-FDG PET/CT in evaluating a child with cavitary lung lesions.

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Authors and Affiliations

  1. Department of Pediatrics, University of Colorado Denver, Aurora, CO, USA

    Mindy Grunzke & Timothy Garrington

  2. Rick Wilson Center for Cancer and Blood Disorders, The Children’s Hospital, 13123 E. 16th Ave., B115, Aurora, CO, 80045, USA

    Mindy Grunzke & Timothy Garrington

  3. Pediatric Radiology, The Children’s Hospital, Aurora, CO, USA

    Kari Hayes

  4. Warren Clinic, Inc., Children’s Hospital at St. Francis, Tulsa, OK, USA

    Wendy Bourland

Authors
  1. Mindy Grunzke
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  2. Kari Hayes
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  3. Wendy Bourland
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  4. Timothy Garrington
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Corresponding author

Correspondence to Mindy Grunzke.

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Grunzke, M., Hayes, K., Bourland, W. et al. Diffuse cavitary lung lesions. Pediatr Radiol 40, 215–218 (2010). https://doi.org/10.1007/s00247-009-1410-7

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  • DOI: https://doi.org/10.1007/s00247-009-1410-7

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