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b Disseminated disease in a 25-year-old man with multiple low attenuation cystic appearing lesions (short arrows) in the right lobe of the liver and associated ascites.
Contrast-enhanced nephrogenic phase coronal reconstruction CT shows right kidney with multiple low attenuation round masses (black arrows) corresponding to either dilated calyces or focal areas of parenchymal destruction with numerous calculus in calyces.
Open image in new window Fig. 3 A 67-year-old man with previously treated lower limb primary MM 7 months ago was found to have suspicious pelvic lymph nodes and multiple low attenuation splenic lesions, concerning for metastases on a surveillance CT (a c).
Splenic lymphoma can take the form of a solitary lesion, miliary nodules or multiple low attenuation masses.
On CT, the kidney is diffusely enlarged by multiple, low attenuation masses with rim enhancement representing dilated calyces or foci of parenchymal destruction compressing the surrounding renal parenchyma (Fig. 9).
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a Coronal contrast-enhanced CT image shows splenomegaly with multiple low-attenuation splenic lesions (arrows).
The typical CT appearance is of global renal enlargement with multiple low-attenuation rounded areas replacing the renal parenchyma (Fig. 10).
a Axial contrast-enhanced CT image before start of chemotherapy shows multiple low-attenuation hepatic metastatic lesions (arrows), more prominent in left lobe.
The initial computed tomography (CT) scan of the chest showed multiple low-attenuation mediastinal lesions, indicative of abscesses or necrotic lymphadenopathy, as well as esophageal discontinuity in the subcarinal region, a sign of esophageal fistula or perforation.
High levels of IgG and IgG4 are striking and characteristic features of renal involvement such as multiple lesions with low attenuation demonstrated by contrast-enhanced computed tomography are often evident [ 4– 7].
CLE is characterised by the presence of multiple rounded areas of low attenuation, which have diameters of several millimetres and usually have an upper lobe predominance [13].
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