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March 27, 2007 By Allison Zwingenberger 1 Comment Abdominal ultrasound is a routine part of staging a new lymphoma patient.
The spleen, liver and lymph nodes are the expected findings, but there is often something unexpected as well.
Allison Zwingenberger: Yes, water soluble nonionic contrast medium is the best choice in the urinary tract.
Abdominal ultrasonography is a form of medical ultrasonography that uses transmission and reflection of ultrasound waves to visualize internal organs through the abdominal wall. Abdominal ultrasonography is a non-invasive, pain-free way to assess the internal organs of a patient and can be used to diagnose abnormalities in the kidneys, liver, gallbladder, pancreas, spleen, adrenal glands, intestines, stomach and blood vessels.
Diseases that can be diagnosed using this technique include cholelithiasis (gallbladder stones), neoplasia (cancer) of various organs, ascites (abdominal fluid), gastrointestinal obstruction, urolithiasis (kidney and bladder stones), hydronephrosis (dilated kidneys), pyelonephritis (kidney infection), and pancreatitis, among others. Ultrasound-guided needle aspiration of organs, lymph nodes, and tumors can be performed for cytologic analysis and diagnosis of many conditions.

Patient #2: 8 year old male, intact Pitbull Mix with a splenic mass removed via splenectomy. The most common finding is an enlarged, hypoechoic liver, where the portal vessel walls are visible well out into the periphery (image 1).
Commonly seen lymph nodes like the cranial mesenteric and the medial iliac lymph nodes are easy to identify.
Other chains of lymph nodes that are usually too small to see with ultrasound may become involved as well. It’s important to do a thorough examination to inform the clinician of any lesions that are out of the ordinary. Early diagnosis of certain conditions following abdominal ultrasound allows for correct treatment, faster recovery, and longer survival times.
It’s helpful to know the locations of some of these other groups like the periaortic and the splenic lymph nodes to be able to identify them.

Fine needle aspirate is an easy technique to confirm the diagnosis of lymphoma in these organs. The lymph node enlargement can be very variable, with extremely enlarged nodes in one location, and mildly enlarged nodes in another. Their echotexture is usually uniform, but you may see mottled or nodular lymph nodes as well.
There can also be a hyperechoic rim around the lymph nodes in the mesentery, which I think is inflammation or edema.

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