Fever and an Abnormal Abdominal Computed Tomography Scan

Jonathan J. Sudberry, MD, and Junsung Choi, MD

November 26, 2001

Case Description

CT of the abdomen just above the level of the pancreatic head demonstrates round and ovoid low attenuation lesions with peripheral rim enhancement extending to the porta hepatis (arrowhead). This enlarged node measures 1.6 x 2.0 cm in diameter. Additional smaller rimenhancing lymph nodes are present, which create a multilocular appearance of these nodes. The portal vein demonstrates good contrast opacification (arrow).

A 51-year-old woman presented with a 6-week history of fevers and fatigue. She had no weight loss, nausea, or vomiting. Computed tomography (CT) of the abdomen was obtained (Fig 1).

Which of the following is the most likely diagnosis?

  1. Portal vein thrombosis

  2. Tuberculous adenitis

  3. Acute pancreatitis

  4. Lymphoma

View the correct answer.

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