75 year old female, epigastric pain. Abdominal US (selected images)
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Findings & DDx?
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Retroperitoneal Lymphadenopathy
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  • US shows a hypoechoic retroperitoneal mass / LAD; confirmed by CT
  • Retroperitoneal nodes include periaortic & pericaval nodes
  • Common metastases to these nodes include lymphoma, renal cell, testicular, cervical, and prostatic carcinomas
  • Gastric CA in this instance; frequently shown boards case showing metastatic seminoma
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