Presentation
Gradually increased abdominal distension with dull pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Sandwich sign (mesentery)
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Innumerable, enlarged and matted mesenteric, peri-gastric, peri-pancreatic, pre/para-aortic and aorto-caval lymph nodes are noted (resembling sandwich or hamburger sign). These enlarged lymph nodes are encasing mesenteric vessels, aorta, IVC and renal vessels without occlusion and displacing bowels and adjacent structures.
Mild ascites is noted.
Scoliotic deformity of the spine is seen.
Rest of the visualized organs appear unremarkable.
Case Discussion
CT findings of multiple enlarged abdominal lymph nodes, giving sandwich or hamburger sign which is almost typical for lymphoma as detailed above.
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