J Korean Soc Radiol.  2023 Nov;84(6):1266-1289. 10.3348/jksr.2023.0015.

Typical and Atypical Imaging Features of Malignant Lymphoma in the Abdomen and Mimicking Diseases

• Kim JE
• Park SH
• Shim YS
• Yoon S

• KMID: 2548582
• DOI: http://doi.org/10.3348/jksr.2023.0015

Abstract

Malignant lymphoma typically presents with homogeneous enhancement of enlarged lymph nodes without internal necrotic or cystic changes on multiphasic CT, which can be suspected without invasive diagnostic methods. However, some subtypes of malignant lymphoma show atypical imaging features, which makes diagnosis challenging for radiologists. Moreover, there are several lymphomamimicking diseases in current clinical practice, including leukemia, viral infections in immunocompromised patients, and primary or metastatic cancer. The ability of diagnostic processes to distinguish malignant lymphoma from mimicking diseases is necessary to establish effective management strategies for initial radiological examinations. Therefore, this study aimed to discuss the typical and atypical imaging features of malignant lymphoma as well as mimicking diseases and discuss important diagnostic clues that can help narrow down the differential diagnosis.

Keyword

Lymphoma; Abdomen; Multidetector Computed Tomography