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Figure 27a: A chest radiographs (1) Mediastinal lymphadenopathy and fairly extensive lung parenchymal changes. (b) (2 and 3) Axial CT images show markedly thickened gastric fundal mucosa (yellow arrow), extensive abdominal lymphadenopathy encasing the celiac axis, the hepatic and splenic arteries (white arrow). An enhancing lesion (red arrow) within spleen in keeping with hemangioma. (c) (4 and 5) Axial CT images in portal venous stage show enhancing gastric varices (red arrow). (d) (6, 7, and 8 ) Axial CT images in the portal venous phase show occlusion of the splenic and portal veins, upper abdominal varices and a cavernous formation of the portal vein at hepatic hilum (yellow arrow). (e) (9-10) Coronal CT of abdomin show thrombosis of the portal vein (white arrow) and varices by passing the portal thrombus (red arrow). Biopsy of lymph nodes revealed non-caseating granulomas |
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