Hodgkin’s Lymphoma and Cardiac Tamponade: Management and Perioperative Imaging

Authors

  • Karan Bir Singh MD Department of Internal Medicine, University of South Alabama, USA
  • Muhammad Areeb Ashfaq MD Department of Internal Medicine, University of South Alabama, USA
  • Krithika Muthyala MD Department of Internal Medicine, University of South Alabama, USA
  • Sagar Kumar MD Division of Pulmonary and Critical Care Medicine, University of South Alabama, USA
  • Samuel McQuiston MD Department of Radiology, University of South Alabama, USA
  • Omar Alkharabsheh MD Division of Medical Oncology, Mitchell Cancer Institute, University of South Alabama, USA

DOI:

https://doi.org/10.3941/jrcr.v18i2.5209

Abstract

Classical Hodgkin’s lymphoma (cHL) is a characterized by a neoplastic growth of lymph nodes. Histologically characterized by Reed-Sternberg cell and clinically presents commonly with painless lymphadenopathy and constitutional symptoms such as fever, chills, weight loss and or night sweats [1]. Uncommonly, this disease can affect extralymphatic organs such as pericardium. In normal healthy adults, approximately 10 to 50 mL of pericardial fluid surrounds the heart. This fluid is an ultrafiltrate from epicardial blood vessels and cushions the heart during systole and diastole. Pericardial effusions are most commonly seen in viral etiologies and occur in 4-6% of patient’s with cHL with pericardial tamponade being exceedingly rare and reported only in case reports [2-6]. Typically, 20% of patient’s at the time of diagnosis have pericardial effusions with 6% being moderate or large [6].

Single front view chest radiograph demonstrating large pleural effusion (star) with fluid tracking along the lateral chest wall (arrow heads) and subtotal atelectasis of the lung. Right hemidiaphragm is obscured in comparison to the left side.

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Published

2024-02-28

Issue

Vol. 18 No. 2 (2024)

Section

Thoracic Radiology

License

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