Man 77 yo with renal hydronephrosis and insufficiency, EGFR= 11 ml/mn.
US scanning of abdomen:
US 1, US 2=2 kidneys hydronephrosis no stone.
US 3 crossed section of aorta: Periaortic thickening by hypoechoic ring.
US 4 longitudinal scan of abdominal aorta.
US 5: CDI.
US 6 : scan at aorta bifurcation, CDI longitudinal scanning of aorta.
CT of abdomen non CE=
CT 1=2 kidneys hydronephrosis.
CT 2 = frontal view, aorta is covered by the mass.
CT 3 =sagittal view.
Blood test = betamicroglobulin 12,577UI(n=2,164) ferritin 621ng (n =400)
Summary:
Suspected periaortic retroperitoneum lymphoma in compression of ureter to make renal insufficiency. Wait for biopsy of the inguinal nodes for histo immuno stainning.
Suspected periaortic retroperitoneum lymphoma in compression of ureter to make renal insufficiency. Wait for biopsy of the inguinal nodes for histo immuno stainning.