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Radiology examination as a diagnostic aid in presentations with wide differential diagnoses: Case report of new Hodgkin’s lymphoma on a background of poorly controlled HIV

Rachel Hubbard
Jalpa Kotecha
Thomas Nash
Yu Jin Lee
Nasir Khan
Farhat Kazmi


Hodgkin’s lymphoma and disseminated Mycobacterium avium complex (MAC) infection share similar clinical features; both may affect human immunodeficiency virus (HIV)-positive individuals. We discuss a patient with poorly controlled HIV-infection presenting with chest sepsis, dyspnoea and weight loss. Whilst the initial working diagnosis was that of MAC infection, pathology results had not met diagnostic criteria. Lymph node biopsy instead revealed classical Hodgkin’s lymphoma. We discuss the role of radiological examination in cases of diagnostic uncertainty.