Dr. Ashutosh Chandan Dubey (Internal Medicine) needs a second opinion on this medical case.
Case of Generalized Lymphadenopathy under Ix with Suspected SVC syndrome.
A 56 yr old male has come with neck swelling and rt upper limb swelling for past 5 months. Associated Hoarseness of voice and sob.
No history of fever, cough, chest pain, wt loss, evening rise of temp or sweating.
No significant past history, No HTN, T2DM, Thyroid disorder, substance abuse etc.
On Examination pt had facial flushing with enlarged neck with rt upper limb pitting edema.
Lymph nodes of Anterior triangle, posterior triangle were enlarged on both sides, enlarged axillary lymph nodes on both sides and same for inguinal lymph nodes.
Lymph nodes were solid, matted, immobile, non tender and no raised temp or skin changes.
Superficial vessels were prominent over chest and abdomen with direction of flow downwards.
Usg of neck was done suggesting similar features.
Blood reports for routine Ix are normal except raised ESR. Pt is covid neg.
I have advised Lymph node biopsy and CT thorax and Abdomen.