Classical Hodgkin's lymphoma infiltrated both lungs

Usually Hodgkin's lymphoma occurs in the mediastinum and head and neck regions. On rare occasions, the first manifestation of Hodgkin's lymphoma may be a disorder of an extranodal site, such as the gastrointestinal tract, nasopharyngeal region, central nervous system, kidney, or other sites. Few cases of classical Hodgkin's lymphoma with pulmonary infiltration have been reported in the literature. Herein, we report a case of classical Hodgkin's lymphoma with infiltration of both lungs. Ultrasound detected many enlarged lymph nodes in the neck region, without blood flow signals shown by Color Doppler Flow Imaging CDFI. The chest CT scan revealed many enlarged lymph nodes in the mediastinum and multiple scattered consolidation lesions involving both lungs. The diagnosis of classical Hodgkin's lymphoma, nodular sclerosis subtype, was made on a subsequent cervical lymph node biopsy.